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General NPI Number Information
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NPI Number | 1922531284
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Entity Type | Organization
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Legal Business Name | HILAL HOME CARE INC.
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 2037 BLOOMINGDALE RD STE 217
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City | GLENDALE HEIGHTS
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State | IL
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Zip | 60139-2195
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Country | US
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Telephone | 630-893-2055
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Fax | 630-332-8138
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Provider Business Mailing Address
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Address Line | 2037 BLOOMINGDALE RD STE 217
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City | GLENDALE HEIGHTS
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State | IL
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Zip | 60139-2195
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Country | US
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Telephone | 630-893-2055
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Fax | 630-332-8138
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Authorized Official
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Title or Position | MANAGER
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Name | MR. RAYMOND EDWARD DHAN
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Credential | RN, BSN
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Telephone | 630-893-2055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 3001473
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License Number State | IL
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