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General NPI Number Information
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NPI Number | 1811523871
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Entity Type | Organization
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Legal Business Name | NOBLE PLUS HEALTHCARE
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Dates
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Enumeration Date | 03/20/2020
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Last Update Date | 03/20/2020
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Provider Practice Location Address
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Address Line | 19729 LAKE PARK DR
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City | LYNWOOD
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State | IL
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Zip | 60411-1556
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Country | US
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Telephone | 773-727-8764
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Fax |
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Provider Business Mailing Address
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Address Line | 19729 LAKE PARK DR
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City | LYNWOOD
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State | IL
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Zip | 60411-1556
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Country | US
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Telephone | 773-727-8764
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Fax |
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Authorized Official
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Title or Position | AGENCY MANAGER
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Name | RAFAT SHONEYE
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Credential | APN
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Telephone | 773-727-8764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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