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General NPI Number Information
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NPI Number | 1336951458
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Entity Type | Organization
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Legal Business Name | VITALTOUCH HEALTH NETWORK INCORPORATED
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 3325 183RD ST STE B
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City | HOMEWOOD
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State | IL
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Zip | 60430-2602
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Country | US
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Telephone | 708-898-8831
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Fax |
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Provider Business Mailing Address
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Address Line | 3325 183RD ST STE B
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City | HOMEWOOD
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State | IL
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Zip | 60430-2602
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Country | US
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Telephone | 708-898-8831
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. IFEANYICHUKWU C EZURIKE
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Credential |
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Telephone | 708-898-8831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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