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General NPI Number Information
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NPI Number | 1972177244
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Entity Type | Organization
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Legal Business Name | METRO CONTINUED CARE LLC
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 710 N DEARBORN ST
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City | CHICAGO
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State | IL
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Zip | 60654-5900
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Country | US
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Telephone | 312-820-7569
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Fax | 913-815-1796
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Provider Business Mailing Address
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Address Line | 712 N DEARBORN ST
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City | CHICAGO
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State | IL
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Zip | 60654-3846
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Country | US
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Telephone | 312-819-2849
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Fax | 312-786-4669
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Authorized Official
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Title or Position | OFFICER
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Name | GURIQBAL NANDRA
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Credential | MD
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Telephone | 312-804-4566
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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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