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General NPI Number Information
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NPI Number | 1407028004
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Entity Type | Organization
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Legal Business Name | ALPHA HOME THERAPY SERVICES INC.
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 2851 S KING DR APT #718
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City | CHICAGO
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State | IL
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Zip | 60616-2950
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Country | US
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Telephone | 312-927-2252
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Fax |
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Provider Business Mailing Address
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Address Line | 2851 S KING DR APT #718
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City | CHICAGO
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State | IL
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Zip | 60616-2950
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Country | US
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Telephone | 312-927-2252
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AHMAD K NAEM
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Credential |
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Telephone | 708-478-5517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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