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General NPI Number Information
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NPI Number | 1407161201
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Entity Type | Organization
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Legal Business Name | AFFORDABLE HOME CARE SERVICES, INC.
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Dates
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Enumeration Date | 08/17/2010
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Last Update Date | 08/18/2011
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Provider Practice Location Address
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Address Line | 3311 W IRVING PARK RD
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City | CHICAGO
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State | IL
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Zip | 60618-3343
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Country | US
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Telephone | 773-754-3800
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Fax | 773-754-3804
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Provider Business Mailing Address
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Address Line | 3311 W IRVING PARK RD
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City | CHICAGO
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State | IL
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Zip | 60618-3343
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Country | US
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Telephone | 773-754-3800
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Fax | 773-754-3804
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LETICIA A SOLIZ
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Credential |
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Telephone | 773-754-3800
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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 | 1993893
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License Number State | IL
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