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General NPI Number Information
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NPI Number | 1376772947
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Entity Type | Organization
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Legal Business Name | SIGNATURE HOME CARE, LLC
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Dates
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Enumeration Date | 07/04/2009
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Last Update Date | 07/04/2009
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Provider Practice Location Address
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Address Line | 1098 S MILWAUKEE AVE SUITE 108
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City | WHEELING
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State | IL
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Zip | 60090-6319
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Country | US
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Telephone | 847-323-6828
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Fax |
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Provider Business Mailing Address
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Address Line | 1098 S MILWAUKEE AVE SUITE 108
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City | WHEELING
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State | IL
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Zip | 60090-6319
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Country | US
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Telephone | 847-323-6828
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MISS UNONA LUTIN
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Credential |
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Telephone | 847-323-6828
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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 | 3000521
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License Number State | IL
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