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General NPI Number Information
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NPI Number | 1215200407
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Entity Type | Organization
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Legal Business Name | VITAL HOME & HEALTHCARE, INC.
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Dates
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Enumeration Date | 02/17/2012
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | 8840 CALUMET AVE SUITE 102B
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City | MUNSTER
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State | IN
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Zip | 46321-2545
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Country | US
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Telephone | 219-513-2055
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Fax | 219-513-2056
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Provider Business Mailing Address
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Address Line | 8051 186TH ST SUITE A
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City | TINLEY PARK
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State | IL
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Zip | 60487-9341
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Country | US
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Telephone | 708-342-7076
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Fax | 708-342-7083
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. ASIF A SAYEED
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Credential |
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Telephone | 708-342-7076
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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 | 12-002870-1
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License Number State | IN
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