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General NPI Number Information
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NPI Number | 1144279589
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Entity Type | Organization
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Legal Business Name | MA DEAR HOME SERVICES, INC.
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 1525 E 53RD ST SUITE #1006
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City | CHICAGO
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State | IL
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Zip | 60615-4557
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Country | US
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Telephone | 773-667-4663
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Fax | 773-667-9186
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Provider Business Mailing Address
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Address Line | 4659 S COTTAGE GROVE AVE SUITE #202
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City | CHICAGO
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State | IL
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Zip | 60653-4757
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Country | US
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Telephone | 773-373-4663
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Fax | 773-268-2472
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. RENEE' MORRISSETTE-THOMAS
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Credential | BHA
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Telephone | 773-373-4663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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