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General NPI Number Information
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NPI Number | 1730622796
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Entity Type | Organization
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Legal Business Name | MG ROHAN, INC.
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Dates
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Enumeration Date | 11/23/2016
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Last Update Date | 11/23/2016
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Provider Practice Location Address
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Address Line | 930 N YORK RD SUITE 150
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City | HINSDALE
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State | IL
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Zip | 60521-2991
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Country | US
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Telephone | 630-920-9999
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Fax | 630-920-8453
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Provider Business Mailing Address
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Address Line | 930 N YORK RD SUITE 150
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City | HINSDALE
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State | IL
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Zip | 60521-2991
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Country | US
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Telephone | 630-920-9999
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Fax | 630-920-8453
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. MICHAEL ROHAN
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Credential |
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Telephone | 630-920-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 3000134
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License Number State | IL
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