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General NPI Number Information
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NPI Number | 1598779175
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Entity Type | Organization
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Legal Business Name | MATRIX HOME HEALTH CARE, INC
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 06/22/2015
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Provider Practice Location Address
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Address Line | 4957 HULL ST FIRST FLOOR
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City | SKOKIE
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State | IL
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Zip | 60077-2927
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Country | US
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Telephone | 847-410-7630
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Fax | 847-410-7631
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Provider Business Mailing Address
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Address Line | 4957 HULL ST FIRST FLOOR
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City | SKOKIE
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State | IL
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Zip | 60077-2927
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Country | US
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Telephone | 847-410-7630
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Fax | 847-410-7631
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NATIVIDAD ALMAZAN
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Credential |
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Telephone | 847-410-7630
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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 | IL1010148
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License Number State | IL
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