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General NPI Number Information
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NPI Number | 1598418733
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Entity Type | Organization
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Legal Business Name | CLEAR PATH HOME HEALTHCARE, INC.
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 19070 EVERETT BLVD UNIT 205
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City | MOKENA
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State | IL
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Zip | 60448-2073
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Country | US
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Telephone | 708-769-4177
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Fax |
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Provider Business Mailing Address
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Address Line | 19070 EVERETT BLVD UNIT 205
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City | MOKENA
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State | IL
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Zip | 60448-2073
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NAOMI MACK
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Credential |
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Telephone | 708-299-9882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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