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General NPI Number Information
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NPI Number | 1962959494
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Entity Type | Organization
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Legal Business Name | MAX HEALTH NETWORK
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 1701 BLOOMINGDALE RD
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City | GLENDALE HEIGHTS
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State | IL
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Zip | 60139-2130
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Country | US
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Telephone | 630-880-1898
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 BLOOMINGDALE RD
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City | GLENDALE HEIGHTS
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State | IL
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Zip | 60139-2130
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Country | US
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Telephone | 630-880-1898
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | UROOJ REHMAN
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Credential |
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Telephone | 630-880-1898
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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 | 3001386
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1011834
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License Number State | IL
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