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General NPI Number Information
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NPI Number | 1346036720
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Entity Type | Organization
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Legal Business Name | EVOHOME MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 400 N MAY ST STE 201
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City | CHICAGO
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State | IL
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Zip | 60642-6495
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Country | US
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Telephone | 800-766-0666
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Fax | 800-297-0666
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Provider Business Mailing Address
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Address Line | 400 N MAY ST STE 201
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City | CHICAGO
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State | IL
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Zip | 60642-6495
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Country | US
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Telephone | 888-491-6729
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Fax | 888-491-6759
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DORAN DUKE
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Credential | MD
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Telephone | 888-491-6729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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