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General NPI Number Information
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NPI Number | 1588942288
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Entity Type | Organization
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Legal Business Name | HOUSE PHYSICIANS LLC
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Dates
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Enumeration Date | 07/28/2011
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Last Update Date | 07/29/2011
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Provider Practice Location Address
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Address Line | 2723 W DEVON AVE
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City | CHICAGO
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State | IL
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Zip | 60659-1703
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Country | US
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Telephone | 773-996-0919
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Fax | 312-842-1949
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Provider Business Mailing Address
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Address Line | 2951 S KING DR APT 1917
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City | CHICAGO
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State | IL
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Zip | 60616-3368
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Country | US
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Telephone | 773-996-0919
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Fax | 312-842-1949
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Authorized Official
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Title or Position | OWNER
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Name | KAASHIF M RIAZ
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Credential |
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Telephone | 773-996-0919
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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 |
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