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General NPI Number Information
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NPI Number | 1215387519
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Entity Type | Organization
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Legal Business Name | LITTLE ANGELS ECE
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Dates
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Enumeration Date | 06/16/2016
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Last Update Date | 06/16/2016
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Provider Practice Location Address
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Address Line | 3613 W DEVON AVE
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City | CHICAGO
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State | IL
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Zip | 60659-1207
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Country | US
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Telephone | 773-478-5555
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Fax | 888-745-3166
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Provider Business Mailing Address
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Address Line | 3613 W DEVON AVE
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City | CHICAGO
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State | IL
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Zip | 60659-1207
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Country | US
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Telephone | 773-478-5555
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Fax | 888-745-3166
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Authorized Official
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Title or Position | OPERATIONS
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Name | S. V KATSIBAROS
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Credential |
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Telephone | 773-478-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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