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General NPI Number Information
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NPI Number | 1548597222
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Entity Type | Organization
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Legal Business Name | ADVANCED MEDICAL TEAM HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 11/17/2009
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Last Update Date | 11/17/2009
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Provider Practice Location Address
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Address Line | 2904 N NORA AVE
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City | CHICAGO
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State | IL
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Zip | 60634-4722
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Country | US
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Telephone | 773-263-9517
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Fax |
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Provider Business Mailing Address
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Address Line | 2904 N NORA AVE
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City | CHICAGO
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State | IL
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Zip | 60634-4722
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Country | US
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Telephone | 773-263-9517
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/DIR OF NURSING
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Name | MISS JONALYN B SANTOS
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Credential | RN
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Telephone | 773-263-9517
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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 | 1011144
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License Number State | IL
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