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General NPI Number Information
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NPI Number | 1134419708
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Entity Type | Organization
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Legal Business Name | IN TOUCH HOME HEALTH AGENCY INC
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Dates
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Enumeration Date | 04/15/2011
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Last Update Date | 04/15/2011
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Provider Practice Location Address
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Address Line | 7000 SOUTHWEST HWY SUITE 201
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City | CHICAGO RIDGE
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State | IL
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Zip | 60415-1469
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Country | US
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Telephone | 708-923-0643
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Fax | 708-923-0648
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Provider Business Mailing Address
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Address Line | 700 SOUTHWEST HIGHWAY SUITE 201
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City | CHICAGO RIDGE
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State | IL
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Zip | 60415-2444
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Country | US
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Telephone | 708-923-0643
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Fax | 708-923-0648
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HATEM M KHATAB
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Credential |
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Telephone | 708-923-0643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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