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General NPI Number Information
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NPI Number | 1730655028
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Entity Type | Organization
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Legal Business Name | METROPOLITAN HEALTH CARE PROVIDERS LLC
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Dates
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Enumeration Date | 10/15/2018
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Last Update Date | 01/03/2019
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Provider Practice Location Address
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Address Line | 6252 S ARCHER RD
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City | SUMMIT
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State | IL
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Zip | 60501-1720
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Country | US
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Telephone | 708-496-9549
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Fax |
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Provider Business Mailing Address
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Address Line | 6252 S ARCHER RD
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City | SUMMIT
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State | IL
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Zip | 60501-1720
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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 | PHYSICIAN
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Name | ANKIT SHAH
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Credential | MD
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Telephone | 708-496-9549
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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 |
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