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General NPI Number Information
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NPI Number | 1730527896
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Entity Type | Organization
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Legal Business Name | CARE BRIDGE HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 06/11/2013
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Last Update Date | 06/11/2013
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Provider Practice Location Address
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Address Line | 9865 WEST ROOSEVELT RD. SUITE # 204
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City | WESTCHESTER
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State | IL
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Zip | 60154
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Country | US
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Telephone | 708-582-7595
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Fax | 708-343-3632
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Provider Business Mailing Address
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Address Line | 9865 WEST ROOSEVELT RD. SUITE # 204
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City | WESTCHESTER
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State | IL
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Zip | 60154
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/DIRECTOR OF NURSING
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Name | EVELYN B. CARREON
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Credential |
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Telephone | 630-674-0464
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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 |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State | NULL
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