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General NPI Number Information
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NPI Number | 1689018673
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Entity Type | Organization
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Legal Business Name | ADDUS HEALTHCARE, INC.
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 11/10/2016
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Provider Practice Location Address
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Address Line | 201 S 20TH ST SUITE 11
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City | ROGERS
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State | AR
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Zip | 72758-1104
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Country | US
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Telephone | 479-877-3300
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Fax | 877-224-7103
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Provider Business Mailing Address
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Address Line | 2300 WARRENVILLE RD SUITE 100
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1765
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Country | US
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Telephone | 630-296-3400
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Fax | 630-487-2713
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Authorized Official
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Title or Position | NATIONAL CONTRACTS
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Name | MS. DIANE KUMARICH
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Credential | RN, MS, MBA
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Telephone | 630-296-3400
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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 | AR4954
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | AR4954
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License Number State | AR
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