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General NPI Number Information
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NPI Number | 1518291327
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Entity Type | Organization
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Legal Business Name | AMERICAN NATIONAL HOME HEALTHCARE, INC
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Dates
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Enumeration Date | 09/25/2009
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Last Update Date | 03/22/2012
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Provider Practice Location Address
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Address Line | 175 W WASHINGTON ST SUITE 2R
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City | WEST CHICAGO
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State | IL
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Zip | 60185-6700
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Country | US
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Telephone | 630-293-9670
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Fax | 630-206-1002
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Provider Business Mailing Address
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Address Line | 175 W. WASHINGTON ST. SUITE 2R
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City | WEST CHICAGO
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State | IL
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Zip | 60185
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Country | US
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Telephone | 630-293-9670
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Fax | 630-206-1002
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | MRS. AURORA MARQUEZ DELEON
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Credential | RN BSN
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Telephone | 630-293-9670
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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 | 1010689
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License Number State | IL
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