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General NPI Number Information
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NPI Number | 1306398656
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Entity Type | Organization
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Legal Business Name | NAPERVILLE SENIOR CENTER ADULT DAY SERVICES
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Dates
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Enumeration Date | 11/02/2016
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Last Update Date | 11/02/2016
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Provider Practice Location Address
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Address Line | 1504 N NAPER BLVD STE 120
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City | NAPERVILLE
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State | IL
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Zip | 60563-4819
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Country | US
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Telephone | 630-587-3017
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Fax |
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Provider Business Mailing Address
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Address Line | 1504 N NAPER BLVD STE 120
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City | NAPERVILLE
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State | IL
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Zip | 60563-4819
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/BUSINESS DIRECTOR
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Name | MR. MICHAEL COOPER
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Credential |
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Telephone | 630-857-3017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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