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General NPI Number Information
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NPI Number | 1902818370
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Entity Type | Organization
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Legal Business Name | ADVANTAGE HOME HEALTH, INC.
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 05/18/2017
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Provider Practice Location Address
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Address Line | 801 S WEST ST
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City | OLNEY
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State | IL
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Zip | 62450-1334
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Country | US
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Telephone | 618-392-4624
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Fax | 618-395-4910
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Provider Business Mailing Address
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Address Line | 801 S WEST ST
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City | OLNEY
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State | IL
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Zip | 62450-1334
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Country | US
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Telephone | 618-392-4624
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Fax | 618-395-4910
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Authorized Official
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Title or Position | CO/OWNER
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Name | MRS. BRENDA L BRITTON
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Credential | LPN
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Telephone | 618-392-4624
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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 | 1006873
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License Number State | IL
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