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General NPI Number Information
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NPI Number | 1164392239
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Entity Type | Organization
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Legal Business Name | ABSOLUTE HOME MANAGEMENT
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 2325 DEAN ST STE 600
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City | ST CHARLES
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State | IL
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Zip | 60175-4822
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Country | US
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Telephone | 630-400-9796
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Fax | 630-513-0080
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Provider Business Mailing Address
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Address Line | 2325 DEAN ST STE 600
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City | ST CHARLES
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State | IL
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Zip | 60175-4822
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Country | US
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Telephone | 630-400-9796
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Fax | 630-513-0080
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALEXANDRA CHRISTINE WEGENER
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Credential |
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Telephone | 630-400-9796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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