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General NPI Number Information
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NPI Number | 1609046242
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Entity Type | Organization
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Legal Business Name | PREMIER POINT HOME HEALTH, INC.
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 4701 N SHERIDAN RD
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City | CHICAGO
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State | IL
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Zip | 60640-5021
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Country | US
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Telephone | 773-275-8390
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Fax | 773-275-8395
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Provider Business Mailing Address
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Address Line | 4701 N SHERIDAN RD
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City | CHICAGO
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State | IL
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Zip | 60640-5021
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Country | US
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Telephone | 773-275-8390
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Fax | 773-275-8395
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LANRE A. SHOMADE
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Credential | MBA
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Telephone | 773-275-8390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1010827
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License Number State | IL
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