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General NPI Number Information
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NPI Number | 1659830784
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Entity Type | Organization
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Legal Business Name | HOME CARE KINECT INC
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 03/18/2019
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Provider Practice Location Address
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Address Line | 1136 S DELANO CT W STE B201
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City | CHICAGO
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State | IL
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Zip | 60605-3734
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Country | US
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Telephone | 312-528-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 3560 S GILES AVE UNIT 3
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City | CHICAGO
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State | IL
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Zip | 60653-1159
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Country | US
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Telephone | 708-704-2851
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Fax |
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Authorized Official
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Title or Position | AGENCY MANAGER
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Name | MR. ANTHONY MARTINEZ WHITE
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Credential |
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Telephone | 708-704-2851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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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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