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General NPI Number Information
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NPI Number | 1780622365
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Entity Type | Organization
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Legal Business Name | DELL HEALTH CARE SERVICES, INC.
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 2600 S MICHIGAN AVE SUITE 418
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City | CHICAGO
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State | IL
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Zip | 60616-2857
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Country | US
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Telephone | 312-567-0961
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Fax | 312-567-1248
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Provider Business Mailing Address
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Address Line | 2600 S MICHIGAN AVE SUITE 418
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City | CHICAGO
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State | IL
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Zip | 60616-2857
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Country | US
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Telephone | 312-567-0961
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Fax | 312-567-1248
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. EVELYN DENESE JACKSON
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Credential | RN
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Telephone | 312-567-0961
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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 | APPLIED
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License Number State | IL
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