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General NPI Number Information
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NPI Number | 1528231693
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Entity Type | Organization
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Legal Business Name | EVOLUTION HOME HEALTH CARE, INC
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 101 BURR RIDGE PARKWAY STE 202
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City | BURR RIDGE
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State | IL
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Zip | 60527
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Country | US
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Telephone | 630-468-2835
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Fax | 360-468-2824
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Provider Business Mailing Address
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Address Line | 101 BURR RIDGE PARKWAY STE 202
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City | BURR RIDGE
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State | IL
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Zip | 60527
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Country | US
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Telephone | 630-468-2835
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Fax | 360-468-2824
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Authorized Official
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Title or Position | ADMIN
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Name | MR. BINO T KURIAN
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Credential | RN
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Telephone | 630-927-0103
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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 |
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License Number State | IL
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