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General NPI Number Information
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NPI Number | 1245197862
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Entity Type | Organization
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Legal Business Name | LS HOME HEALTH WOUND CARE INC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 441 E BERTEAU AVE
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City | ELMHURST
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State | IL
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Zip | 60126-2401
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Country | US
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Telephone | 708-228-6282
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Fax |
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Provider Business Mailing Address
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Address Line | 441 E BERTEAU AVE
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City | ELMHURST
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State | IL
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Zip | 60126-2401
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Country | US
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Telephone | 708-228-6282
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAXMI DESHABATHINI
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Credential |
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Telephone | 708-228-6282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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