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General NPI Number Information
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NPI Number | 1760879324
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Entity Type | Organization
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Legal Business Name | HOPE HOSPICE & PALLIATIVE CARE INC
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 2315 E 93RD ST 237
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City | CHICAGO
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State | IL
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Zip | 60617-3936
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Country | US
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Telephone | 630-546-1706
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Fax | 630-887-9625
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Provider Business Mailing Address
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Address Line | 2315 E 93RD ST 237
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City | CHICAGO
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State | IL
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Zip | 60617-3936
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Country | US
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Telephone | 630-546-1706
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Fax | 630-887-9625
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Authorized Official
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Title or Position | CEO
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Name | WAHIBA PERVAIZ
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Credential |
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Telephone | 630-546-1706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 2003081
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License Number State | IL
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