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General NPI Number Information
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NPI Number | 1184951469
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Entity Type | Organization
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Legal Business Name | HOME CARE PHYSICIANS, INC.
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Dates
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Enumeration Date | 11/07/2009
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Last Update Date | 10/07/2013
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Provider Practice Location Address
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Address Line | 290 SPRINGFIELD DR SUITE 225
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2214
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Country | US
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Telephone | 630-893-4444
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Fax | 630-893-5555
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Provider Business Mailing Address
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Address Line | 290 SPRINGFIELD DR SUITE 225
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2214
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Country | US
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Telephone | 630-893-4444
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Fax | 630-893-5555
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARYROSE TAMORO LAZATIN
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Credential |
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Telephone | 630-306-8224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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