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General NPI Number Information
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NPI Number | 1306800537
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Entity Type | Organization
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Legal Business Name | CENTRAL PREFERRED HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 04/04/2012
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Provider Practice Location Address
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Address Line | 9030 AUSTIN AVE
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City | MORTON GROVE
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State | IL
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Zip | 60053-2406
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Country | US
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Telephone | 847-965-0364
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Fax | 847-965-0354
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Provider Business Mailing Address
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Address Line | 9030 AUSTIN AVE
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City | MORTON GROVE
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State | IL
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Zip | 60053-2406
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Country | US
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Telephone | 847-965-0364
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Fax | 847-965-0354
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. BIBIANA FERMIN
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Credential |
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Telephone | 847-965-0364
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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 | 1007152
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License Number State | IL
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