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General NPI Number Information
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NPI Number | 1235267139
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Entity Type | Organization
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Legal Business Name | CATLEYA HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 102 MAIN ST
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City | WEST CHICAGO
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State | IL
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Zip | 60185-2835
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Country | US
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Telephone | 630-293-9160
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Fax | 630-293-9162
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Provider Business Mailing Address
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Address Line | 102 MAIN ST
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City | WEST CHICAGO
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State | IL
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Zip | 60185-2835
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Country | US
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Telephone | 630-293-9160
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Fax | 630-293-9162
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MILAFLOR B NAVARRO
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Credential | R.N.
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Telephone | 630-935-8312
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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 | 1010646
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License Number State | IL
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