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General NPI Number Information
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NPI Number | 1447439286
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Entity Type | Organization
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Legal Business Name | HOMELINK HEALTHCARE,LTD
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 7257 W TOUHY AVE SUITE 200-A
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City | CHICAGO
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State | IL
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Zip | 60631-4342
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Country | US
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Telephone | 773-631-5633
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Fax | 773-631-6786
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Provider Business Mailing Address
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Address Line | 7257 W TOUHY AVE SUITE 200-A
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City | CHICAGO
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State | IL
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Zip | 60631-4342
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Country | US
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Telephone | 773-631-5633
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Fax | 773-631-6786
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Authorized Official
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Title or Position | DON
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Name | MRS. ROWENA JOSE VILLAFUERTE-BUNAG
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Credential | RN
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Telephone | 773-631-5633
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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 | 1010921
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License Number State | IL
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