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General NPI Number Information
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NPI Number | 1205874005
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Entity Type | Organization
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Legal Business Name | ACCORD HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 11/11/2008
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Provider Practice Location Address
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Address Line | 6871 171ST ST
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City | TINLEY PARK
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State | IL
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Zip | 60477-3447
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Country | US
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Telephone | 708-481-6604
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Fax |
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Provider Business Mailing Address
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Address Line | 6871 171ST ST
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City | TINLEY PARK
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State | IL
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Zip | 60477-3447
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Country | US
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Telephone | 708-481-6604
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. PRISCILLA CASTRO
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Credential | R.N.
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Telephone | 708-481-6604
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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 | IL1010461
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License Number State | IL
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