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General NPI Number Information
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NPI Number | 1922246693
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Entity Type | Organization
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Legal Business Name | CARE OPTIONS AT HOME COMPANY
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | 221 LAKE ST
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City | OAK PARK
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State | IL
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Zip | 60302-2646
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Country | US
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Telephone | 708-763-9720
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Fax | 708-406-1549
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Provider Business Mailing Address
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Address Line | 221 LAKE ST
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City | OAK PARK
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State | IL
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Zip | 60302-2646
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Country | US
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Telephone | 708-763-9720
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Fax | 708-406-1549
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PAMELA JEAN FERNANDES
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Credential | RN
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Telephone | 708-763-9720
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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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