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General NPI Number Information
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NPI Number | 1457705659
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Entity Type | Organization
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Legal Business Name | AFFORDABLE HOME CAREGIVING SERVICES, INC.
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 04/14/2016
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Provider Practice Location Address
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Address Line | 6071 N MILWAUKEE AVE
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City | CHICAGO
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State | IL
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Zip | 60646-4725
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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 | 6071 N MILWAUKEE AVE
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City | CHICAGO
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State | IL
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Zip | 60646-4725
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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 | OFFICE ADMINISTRATOR
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Name | MS. IMAAN RASUL
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Credential |
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Telephone | 774-754-3800
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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 | 3001199
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License Number State | IL
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