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General NPI Number Information
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NPI Number | 1083483465
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Entity Type | Organization
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Legal Business Name | ALL AROUND ABA IL LLC
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Dates
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Enumeration Date | 12/27/2023
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 1016 W JACKSON BLVD
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City | CHICAGO
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State | IL
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Zip | 60607-2914
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Country | US
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Telephone | 773-217-0363
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 503
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City | MONSEY
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State | NY
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Zip | 10952-0503
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Country | US
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Telephone | 845-533-2758
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARK HERZKA
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Credential |
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Telephone | 917-838-1444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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