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General NPI Number Information
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NPI Number | 1588984595
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Entity Type | Organization
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Legal Business Name | PHS HOME HEALTH LLC
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Dates
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Enumeration Date | 06/02/2010
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 980 N MICHIGAN AVE SUITE 1400
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City | CHICAGO
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State | IL
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Zip | 60611-4501
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Country | US
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Telephone | 312-214-3605
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Fax | 312-214-3618
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Provider Business Mailing Address
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Address Line | 980 N MICHIGAN AVE SUITE 1400
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City | CHICAGO
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State | IL
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Zip | 60611-4501
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Country | US
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Telephone | 312-214-3605
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Fax | 312-214-3618
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MRS. LUZVIMINDA O'CONNOR
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Credential |
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Telephone | 312-214-3605
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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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