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General NPI Number Information
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NPI Number | 1245631860
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Entity Type | Organization
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Legal Business Name | HOPE HOSPICE AND PALLIATIVE CARE, INC
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 09/25/2014
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Provider Practice Location Address
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Address Line | 2315 E 93RD ST SUITE 237B
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City | CHICAGO
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State | IL
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Zip | 60617-3936
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Country | US
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Telephone | 773-734-9200
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Fax | 773-734-9201
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Provider Business Mailing Address
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Address Line | 2315 E 93RD ST 237B
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City | CHICAGO
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State | IL
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Zip | 60617-3936
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Country | US
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Telephone | 773-734-9200
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Fax | 773-734-9201
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Authorized Official
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Title or Position | PRESIDENT
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Name | AKHTAR PARVAIZ
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Credential | M.D.
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Telephone | 773-734-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 2003081
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License Number State | IL
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