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General NPI Number Information
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NPI Number | 1982189395
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Entity Type | Organization
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Legal Business Name | SAINT LOUIS HOME HEALTH CARE INC
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 10/02/2018
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Provider Practice Location Address
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Address Line | 739 E INDEPENDENCE DR
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City | PALATINE
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State | IL
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Zip | 60074-1959
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Country | US
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Telephone | 312-605-0168
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Fax |
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Provider Business Mailing Address
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Address Line | 739 E INDEPENDENCE DR APT 4
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City | PALATINE
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State | IL
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Zip | 60074-1959
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Country | US
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Telephone | 312-605-0168
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GARIK KHACHATRYAN
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Credential |
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Telephone | 312-605-0168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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