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General NPI Number Information
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NPI Number | 1467827626
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Entity Type | Organization
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Legal Business Name | ADDUS HEALTHCARE, INC.
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 675 S CARONDELET ST
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City | LOS ANGELES
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State | CA
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Zip | 90057-3309
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Country | US
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Telephone | 951-487-5222
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Fax | 951-784-5610
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Provider Business Mailing Address
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Address Line | 2300 WARRENVILLE RD SUITE 100
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1765
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Country | US
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Telephone | 630-296-3400
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Fax |
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Authorized Official
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Title or Position | NATIONAL CONTRACTS
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Name | MS. DIANE KUMARICH
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Credential | RN,MS, MBA
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Telephone | 630-296-3400
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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 |
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License Number State |
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