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General NPI Number Information
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NPI Number | 1730481268
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Entity Type | Organization
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Legal Business Name | CARE CONNECT HOME HEALTHCARE INC.
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Dates
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Enumeration Date | 12/05/2010
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Last Update Date | 12/05/2010
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Provider Practice Location Address
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Address Line | 4001 W DEVON AVE STE 302
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City | CHICAGO
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State | IL
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Zip | 60646-4538
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Country | US
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Telephone | 773-283-8488
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Fax | 773-283-8458
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Provider Business Mailing Address
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Address Line | 4001 W DEVON AVE STE 302
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City | CHICAGO
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State | IL
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Zip | 60646-4538
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Country | US
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Telephone | 773-283-8488
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Fax | 773-283-8458
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ANNABELLE ESPALMADO LARIRIT
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Credential |
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Telephone | 773-283-8488
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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 | 1011329
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License Number State | IL
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