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General NPI Number Information
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NPI Number | 1962638379
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Entity Type | Organization
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Legal Business Name | ABC HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 06/01/2009
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Last Update Date | 12/17/2009
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Provider Practice Location Address
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Address Line | 3830 W 95TH ST SUITE # 3
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City | EVERGREEN PARK
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State | IL
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Zip | 60805-2004
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Country | US
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Telephone | 708-499-7030
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Fax | 708-907-5742
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Provider Business Mailing Address
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Address Line | 3830 W 95TH ST SUITE # 3
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City | EVERGREEN PARK
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State | IL
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Zip | 60805-2004
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Country | US
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Telephone |
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Fax | 708-907-5742
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. CHRISTINE CLARK BELL
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Credential | BSN RN
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Telephone | 708-499-7030
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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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