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General NPI Number Information
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NPI Number | 1619234606
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Entity Type | Organization
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Legal Business Name | MED HOME ALERT
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 04/16/2012
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Provider Practice Location Address
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Address Line | 500 LAKE COOK RD STE 350
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City | DEERFIELD
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State | IL
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Zip | 60015-5268
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Country | US
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Telephone | 866-277-3395
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Fax | 866-277-4191
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Provider Business Mailing Address
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Address Line | PO BOX 2248
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City | NORTHBROOK
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State | IL
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Zip | 60065-2248
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Country | US
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Telephone | 866-277-3395
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Fax | 866-277-4191
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LISA ANN THOMPSON
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Credential |
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Telephone | 866-277-3395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State |
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