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General NPI Number Information
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NPI Number | 1417392465
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Entity Type | Organization
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Legal Business Name | CAPITAL HOSPICE & PALLIATIVE CARE LLC
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Dates
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Enumeration Date | 05/03/2013
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 900 JORIE BLVD STE 188
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City | OAK BROOK
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State | IL
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Zip | 60523-3809
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Country | US
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Telephone | 630-581-5492
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Fax |
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Provider Business Mailing Address
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Address Line | 900 JORIE BLVD STE 188
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City | OAK BROOK
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State | IL
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Zip | 60523-3809
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Country | US
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Telephone | 630-581-5492
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MEHDI ALI
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Credential |
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Telephone | 630-581-5492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | IL
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