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General NPI Number Information
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NPI Number | 1639618689
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Entity Type | Organization
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Legal Business Name | KIND HEART HOME CARE LLC
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Dates
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Enumeration Date | 02/22/2017
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Last Update Date | 02/22/2017
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Provider Practice Location Address
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Address Line | 1035 E 45TH ST UNIT 3
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City | CHICAGO
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State | IL
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Zip | 60653-4068
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Country | US
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Telephone | 312-585-2277
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Fax | 312-585-7037
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Provider Business Mailing Address
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Address Line | 401 N MICHIGAN AVE SUITE 1200
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City | CHICAGO
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State | IL
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Zip | 60611-4255
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Country | US
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Telephone | 312-585-2277
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Fax | 312-585-7037
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Authorized Official
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Title or Position | MANAGER
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Name | PATRICIA THOMPSON
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Credential |
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Telephone | 312-585-2277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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