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General NPI Number Information
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NPI Number | 1952122442
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Entity Type | Organization
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Legal Business Name | FIRST HEALTH HOSPICE LLC
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 1111 W 22ND ST STE 260
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City | OAK BROOK
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State | IL
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Zip | 60523-7408
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Country | US
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Telephone | 630-501-0093
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Fax | 630-501-0313
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Provider Business Mailing Address
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Address Line | 1111 W 22ND ST STE 260
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City | OAK BROOK
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State | IL
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Zip | 60523-7408
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Country | US
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Telephone | 630-501-0093
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Fax | 630-501-0313
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Authorized Official
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Title or Position | CEO
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Name | JASON LAING
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Credential |
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Telephone | 888-834-2672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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