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General NPI Number Information
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NPI Number | 1912145152
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Entity Type | Organization
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Legal Business Name | MIDWEST HOME HEALTH CARE OF FRANKFORT, LLC.
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Dates
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Enumeration Date | 01/27/2009
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Last Update Date | 07/28/2011
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Provider Practice Location Address
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Address Line | 8936 CHARRINGTON DR
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City | FRANKFORT
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State | IL
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Zip | 60423-9447
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Country | US
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Telephone | 815-277-2631
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Fax | 815-277-2632
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Provider Business Mailing Address
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Address Line | 8936 CHARRINGTON DR
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City | FRANKFORT
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State | IL
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Zip | 60423-9447
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Country | US
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Telephone | 815-277-2631
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Fax | 815-277-2632
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PETRONILO BANATIN ALDEZA
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Credential | REGISTERED NURSE
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Telephone | 815-277-2631
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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 | 041219995
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License Number State | IL
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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 | 041204358
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 041212612
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License Number State | IL
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