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General NPI Number Information
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NPI Number | 1306126453
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Entity Type | Organization
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Legal Business Name | UNIQUE HOME HEALTH INC.
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Dates
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Enumeration Date | 08/22/2011
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Last Update Date | 08/22/2011
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Provider Practice Location Address
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Address Line | 297 E GLENWOOD LANSING RD SUITE #103
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City | GLENWOOD
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State | IL
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Zip | 60425-1795
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Country | US
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Telephone | 708-757-1300
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Fax | 708-757-1301
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Provider Business Mailing Address
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Address Line | 297 E GLENWOOD LANSING RD SUITE #103
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City | GLENWOOD
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State | IL
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Zip | 60425-1795
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Country | US
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Telephone | 708-757-1300
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Fax | 708-757-1301
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Authorized Official
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Title or Position | NURSE ADMINISTRATION
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Name | MRS. PATIENCE N ALILIONWU
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Credential | REGISTERED NURSE
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Telephone | 708-757-1300
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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 | 1011404
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License Number State | IL
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