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General NPI Number Information
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NPI Number | 1851411581
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Entity Type | Organization
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Legal Business Name | SYMMETRIX HOME HEALTHCARE, INC.
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 411 BUSINESS CENTER DRIVE SUITE 106
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City | MT PROSPECT
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State | IL
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Zip | 60056-9913
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Country | US
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Telephone | 847-430-6771
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Fax | 847-430-6770
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Provider Business Mailing Address
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Address Line | 411 BUSINESS CENTER DR SUITE 106
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City | MT PROSPECT
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State | IL
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Zip | 60056-9913
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Country | US
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Telephone | 847-430-6771
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Fax | 847-430-6770
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD P. SAMANIEGO
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Credential | RN.
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Telephone | 847-430-6771
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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 | 1010659
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License Number State | IL
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