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General NPI Number Information
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NPI Number | 1770519993
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Entity Type | Organization
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Legal Business Name | SPECTRUM HOME HEALTH CARE, INC
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 05/20/2019
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Provider Practice Location Address
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Address Line | 5901 N CICERO AVE SUITE 300
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City | CHICAGO
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State | IL
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Zip | 60646-5717
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Country | US
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Telephone | 773-202-9167
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Fax | 773-202-9168
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Provider Business Mailing Address
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Address Line | 145 E ALGONQUIN RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-5323
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Country | US
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Telephone | 847-607-6555
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Fax | 888-446-2250
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LINDA YANG
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Credential |
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Telephone | 306-745-8080
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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 | 1010514
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License Number State | IL
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