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General NPI Number Information
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NPI Number | 1972157444
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Entity Type | Organization
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Legal Business Name | HEART AND SOUL REHAB LLC
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Dates
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Enumeration Date | 08/01/2019
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Last Update Date | 08/01/2019
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Provider Practice Location Address
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Address Line | 1678 ISLANDVIEW CT
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-2516
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Country | US
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Telephone | 224-234-4624
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Fax |
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Provider Business Mailing Address
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Address Line | 1678 ISLANDVIEW CT
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-2516
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Country | US
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Telephone | 224-234-4624
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Fax |
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Authorized Official
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Title or Position | COO/ OCCUPATIONAL THERAPIST
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Name | MR. SEETEN SINGHA
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Credential | OTR/L
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Telephone | 224-234-4624
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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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