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General NPI Number Information
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NPI Number | 1760798219
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Entity Type | Organization
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Legal Business Name | NUEL HOME HEALTHCARE, INC.
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Dates
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Enumeration Date | 08/22/2010
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Last Update Date | 08/22/2010
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Provider Practice Location Address
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Address Line | 2504 WASHINGTON ST STE 401
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City | WAUKEGAN
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State | IL
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Zip | 60085-4960
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Country | US
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Telephone | 847-249-5500
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Fax | 847-249-5501
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Provider Business Mailing Address
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Address Line | 2504 WASHINGTON ST STE 401
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City | WAUKEGAN
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State | IL
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Zip | 60085-4960
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Country | US
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Telephone | 847-249-5500
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Fax | 847-249-5501
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. UCHENNA ROSELINE EBUBE
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Credential |
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Telephone | 847-249-5500
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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 | 1011273
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License Number State | IL
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