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General NPI Number Information
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NPI Number | 1518065234
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Entity Type | Organization
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Legal Business Name | PREFERRED HOME HEALTHCARE PROVIDERS SC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 300 N OTTAWA ST
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City | JOLIET
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State | IL
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Zip | 60432
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Country | US
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Telephone | 815-722-4277
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Fax | 815-722-4288
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Provider Business Mailing Address
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Address Line | 300 N OTTAWA ST
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City | JOLIET
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State | IL
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Zip | 60432
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Country | US
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Telephone | 815-722-4277
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Fax | 815-722-4288
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. GEORGE W SHEHATA
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Credential | MD
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Telephone | 815-722-4277
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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 | 1010506
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License Number State | IL
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