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General NPI Number Information
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NPI Number | 1245559897
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Entity Type | Organization
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Legal Business Name | CEM HOME CARE SERVICES, INC
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Dates
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Enumeration Date | 05/21/2010
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Last Update Date | 05/21/2010
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Provider Practice Location Address
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Address Line | 3910 N KIMBALL AVE
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City | CHICAGO
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State | IL
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Zip | 60618-3319
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Country | US
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Telephone | 312-218-4923
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Fax |
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Provider Business Mailing Address
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Address Line | 1511 N DRYDEN AVE
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-4031
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Country | US
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Telephone | 312-218-4923
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. EVELYN DANIEL
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Credential | RN
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Telephone | 312-218-4923
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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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