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General NPI Number Information
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NPI Number | 1215543848
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Entity Type | Organization
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Legal Business Name | BENEVOLENCE HOME SERVICES, LLC
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 09/18/2020
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Provider Practice Location Address
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Address Line | 1 WESTBROOK CORPORATE CTR STE 300
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City | WESTCHESTER
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State | IL
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Zip | 60154-5709
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Country | US
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Telephone | 708-304-0297
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Fax | 708-248-1130
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Provider Business Mailing Address
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Address Line | 1 WESTBROOK CORPORATE CTR STE 300
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City | WESTCHESTER
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State | IL
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Zip | 60154-5709
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Country | US
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Telephone | 708-304-0297
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Fax | 708-248-1130
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Authorized Official
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Title or Position | ADMIN
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Name | MRS. KATRINA TURMAN
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Credential | RN
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Telephone | 708-304-0296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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