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General NPI Number Information
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NPI Number | 1215946793
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Entity Type | Organization
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Legal Business Name | BEATRICE HOME HEALTH, INC.
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3713 W CHICAGO AVE
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City | CHICAGO
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State | IL
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Zip | 60651-3821
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Country | US
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Telephone | 773-722-7344
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Fax |
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Provider Business Mailing Address
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Address Line | 3713 W CHICAGO AVE
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City | CHICAGO
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State | IL
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Zip | 60651-3821
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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 | OWNER
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Name | BEN ANYSOR
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Credential |
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Telephone | 773-722-7344
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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 | 1010324
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License Number State | IL
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