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General NPI Number Information
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NPI Number | 1629202130
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Entity Type | Organization
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Legal Business Name | WHITESTAR HOME HEALTH INC
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Dates
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Enumeration Date | 05/12/2009
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Last Update Date | 04/12/2013
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Provider Practice Location Address
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Address Line | 535 W ELDORADO ST
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City | DECATUR
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State | IL
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Zip | 62522-2117
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Country | US
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Telephone | 217-462-0355
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Fax | 217-462-0356
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Provider Business Mailing Address
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Address Line | 535 W ELDORADO ST
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City | DECATUR
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State | IL
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Zip | 62522-2117
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Country | US
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Telephone | 217-462-0355
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Fax | 217-462-0356
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. NACI AKYILDIZ
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Credential | P.T.
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Telephone | 217-433-2020
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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 | 1926456
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License Number State | IL
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