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General NPI Number Information
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NPI Number | 1871036624
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Entity Type | Organization
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Legal Business Name | ABRI HOME CARE , LLC
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Dates
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Enumeration Date | 11/28/2016
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 675 N NORTH CT STE 240
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City | PALATINE
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State | IL
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Zip | 60067-8147
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Country | US
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Telephone | 224-595-0813
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Fax |
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Provider Business Mailing Address
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Address Line | 675 N NORTH CT STE 240
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City | PALATINE
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State | IL
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Zip | 60067-8147
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Country | US
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Telephone | 224-595-0813
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DARA NICOLE
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Credential |
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Telephone | 224-595-0813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 3001407
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License Number State | IL
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