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General NPI Number Information
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NPI Number | 1609825678
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Entity Type | Organization
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Legal Business Name | COMMUNITY ALLIANCE HOME HEALTH
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | ONE MERCHANTS PLAZA SUITE 202
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City | OSWEGO
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State | IL
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Zip | 60543-9453
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Country | US
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Telephone | 630-933-7851
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Fax | 630-933-7852
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Provider Business Mailing Address
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Address Line | ONE MERCHANTS PLAZA SUITE 202
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City | OSWEGO
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State | IL
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Zip | 60543-9453
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Country | US
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Telephone | 630-933-7851
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Fax | 630-933-7852
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Authorized Official
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Title or Position | DIRECTOR, OPERATIONS
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Name | MRS. MARLA MARIE HUSCH
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Credential | RPH
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Telephone | 630-665-7000
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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 | 1010207
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License Number State | IL
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