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General NPI Number Information
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NPI Number | 1275653826
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Entity Type | Organization
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Legal Business Name | MULTICARE HOME HEALTH
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 346 E IRVING PARK RD
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City | WOOD DALE
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State | IL
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Zip | 60191-1679
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Country | US
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Telephone | 847-877-1601
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Fax | 773-775-7083
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Provider Business Mailing Address
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Address Line | 346 E IRVING PARK RD
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City | WOOD DALE
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State | IL
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Zip | 60191-1679
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Country | US
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Telephone | 847-877-1601
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Fax | 773-775-7083
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | MR. K. BASHEER AHMED
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Credential | BS, RRT,CPFT, RCP
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Telephone | 847-877-1601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 203.000540
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License Number State | IL
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