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General NPI Number Information
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NPI Number | 1174166540
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Entity Type | Organization
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Legal Business Name | ALBRIGHT OAKMONT INC
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Dates
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Enumeration Date | 10/18/2019
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Last Update Date | 10/18/2019
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Provider Practice Location Address
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Address Line | 7501 N UNIVERSITY ST STE 137
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City | PEORIA
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State | IL
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Zip | 61614-1299
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Country | US
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Telephone | 630-796-0213
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Fax |
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Provider Business Mailing Address
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Address Line | 3S101 ROCKWELL ST UNIT 557
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City | WARRENVILLE
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State | IL
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Zip | 60555-2967
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JASPREET BAJAJ
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Credential |
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Telephone | 630-796-0213
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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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