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General NPI Number Information
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NPI Number | 1891928180
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE HOME HEALTH CARE, CORP.
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 09/03/2009
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Provider Practice Location Address
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Address Line | 3914 MAIN ST
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City | SKOKIE
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State | IL
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Zip | 60076-2766
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Country | US
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Telephone | 847-677-5444
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Fax |
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Provider Business Mailing Address
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Address Line | 3914 MAIN ST
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City | SKOKIE
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State | IL
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Zip | 60076-2766
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Country | US
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Telephone | 847-677-5444
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. NASRAT AR. ESBAI
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Credential | PHD IN NURSING SCIEN
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Telephone | 773-981-5420
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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 |
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License Number State |
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