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General NPI Number Information
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NPI Number | 1144461906
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Entity Type | Organization
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Legal Business Name | ALPHONSA HOME HEALTH CARE,INC
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Dates
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Enumeration Date | 03/08/2009
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Last Update Date | 03/08/2009
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Provider Practice Location Address
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Address Line | 743 N WILLOW RD
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City | ELMHURST
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State | IL
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Zip | 60126-1766
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Country | US
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Telephone | 630-758-4077
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Fax | 630-758-4078
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Provider Business Mailing Address
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Address Line | 743 N WILLOW RD
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City | ELMHURST
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State | IL
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Zip | 60126-1766
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Country | US
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Telephone | 630-758-4077
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Fax | 630-758-4078
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. AISHAMMA LAWRENCE
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Credential |
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Telephone | 630-758-4077
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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 | 1011063
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License Number State | IL
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