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General NPI Number Information
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NPI Number | 1669504528
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Entity Type | Organization
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Legal Business Name | DIAMOND HOME HEALTHCARE INC
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 09/11/2015
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Provider Practice Location Address
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Address Line | 6677 N LINCOLN AVENUE SUITE 333
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-3634
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Country | US
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Telephone | 224-251-7075
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Fax | 224-251-7079
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Provider Business Mailing Address
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Address Line | 6677 N LINCOLN AVENUE SUITE 333
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-3634
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Country | US
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Telephone | 224-251-7075
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Fax | 224-251-7079
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Authorized Official
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Title or Position | ADMINISTRATOR/PRESIDENT
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Name | CRISTINA GATIA
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Credential |
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Telephone | 224-251-7075
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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 | 1010452
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License Number State | IL
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