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General NPI Number Information
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NPI Number | 1922152859
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Entity Type | Organization
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Legal Business Name | BRITISH HOME FOR RETIRED MEN AND WOMEN
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 01/27/2010
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Provider Practice Location Address
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Address Line | 8700 31ST ST
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City | BROOKFIELD
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State | IL
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Zip | 60513-1000
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Country | US
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Telephone | 708-485-0135
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Fax | 708-485-8844
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Provider Business Mailing Address
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Address Line | 8700 31ST ST
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City | BROOKFIELD
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State | IL
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Zip | 60513-1000
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Country | US
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Telephone | 708-485-0135
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Fax | 708-485-8844
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Authorized Official
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Title or Position | CFO
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Name | MR. JOHN LARSON
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Credential |
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Telephone | 708-485-0135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 1676854
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License Number State | IL
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