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General NPI Number Information
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NPI Number | 1598086456
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Entity Type | Organization
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Legal Business Name | GALAXY HOME CARE LLC
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 2863 95TH ST STE 143-376
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City | NAPERVILLE
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State | IL
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Zip | 60564
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Country | US
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Telephone | 630-390-0190
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Fax | 630-622-1515
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Provider Business Mailing Address
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Address Line | 2863 95TH ST STE 143-376
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City | NAPERVILLE
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State | IL
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Zip | 60564-9005
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Country | US
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Telephone | 630-390-0190
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Fax | 630-622-1515
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Authorized Official
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Title or Position | PRESIDENT
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Name | PETER CHUNG
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Credential |
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Telephone | 630-390-0190
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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 | 1011206
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License Number State | IL
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