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General NPI Number Information
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NPI Number | 1306247622
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Entity Type | Organization
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Legal Business Name | DAHLEEN, INC.
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Dates
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Enumeration Date | 09/05/2014
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Last Update Date | 09/09/2016
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Provider Practice Location Address
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Address Line | 12416 S HARLEM AVE SUITE 100
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1695
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Country | US
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Telephone | 708-671-2648
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Fax | 708-671-9109
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Provider Business Mailing Address
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Address Line | 12416 S HARLEM AVE SUITE 100
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1695
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Country | US
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Telephone | 708-671-2648
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Fax | 708-671-9109
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Authorized Official
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Title or Position | CFO
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Name | MRS. DARLENE DAHLEEN
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Credential |
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Telephone | 708-671-2648
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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 | 3000978
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License Number State | IL
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