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General NPI Number Information
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NPI Number | 1578792909
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Entity Type | Organization
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Legal Business Name | PARAGON HOME HEALTH INC
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Dates
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Enumeration Date | 07/07/2009
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Last Update Date | 07/07/2009
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Provider Practice Location Address
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Address Line | 5356 N MILWAUKEE AVE 1ST FLOOR
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City | CHICAGO
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State | IL
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Zip | 60630-1250
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Country | US
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Telephone | 773-774-6601
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Fax | 773-774-6602
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Provider Business Mailing Address
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Address Line | 5356 N MILWAUKEE AVE 1ST FLOOR
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City | CHICAGO
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State | IL
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Zip | 60630-1250
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Country | US
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Telephone | 773-774-6601
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Fax | 773-774-6602
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RITZEL CARABEO DELA PENA
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Credential | RN, BSN
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Telephone | 773-774-6601
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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 | 1935525
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License Number State | IL
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