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General NPI Number Information
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NPI Number | 1255978276
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Entity Type | Organization
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Legal Business Name | RESTORING HARMONY HOMECARE LLC
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Dates
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Enumeration Date | 12/09/2019
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 7244 W BENTON DR
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City | FRANKFORT
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State | IL
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Zip | 60423-9303
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Country | US
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Telephone | 815-464-9980
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Fax | 888-846-4782
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Provider Business Mailing Address
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Address Line | 7244 W BENTON DR
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City | FRANKFORT
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State | IL
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Zip | 60423-9303
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Country | US
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Telephone | 815-464-9980
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Fax | 888-846-4782
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Authorized Official
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Title or Position | COO
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Name | DR. ANN ASSAM
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Credential | PHARMD
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Telephone | 708-567-2053
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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 |
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License Number State |
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