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General NPI Number Information
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NPI Number | 1790127660
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Entity Type | Organization
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Legal Business Name | ABC HOME HEALTH CARE, INC
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Dates
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Enumeration Date | 07/21/2013
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Last Update Date | 07/21/2013
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Provider Practice Location Address
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Address Line | 4905 OLD ORCHARD CTR SUITE 736
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City | SKOKIE
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State | IL
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Zip | 60077-1458
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Country | US
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Telephone | 847-982-9150
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Fax | 847-982-9151
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Provider Business Mailing Address
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Address Line | 4905 OLD ORCHARD CTR SUITE 736
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City | SKOKIE
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State | IL
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Zip | 60077-1458
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Country | US
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Telephone | 847-982-9150
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Fax | 847-982-9151
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Authorized Official
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Title or Position | PRESIDENT/ ADMINISTRATOR
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Name | MAGDY GHAZALY
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Credential | R.P.T
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Telephone | 847-982-9150
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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 | 1011666
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License Number State | IL
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