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General NPI Number Information
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NPI Number | 1437746260
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Entity Type | Organization
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Legal Business Name | ABOVE & BEYOND CARE PROVIDERS, INC
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Dates
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Enumeration Date | 12/28/2020
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 1633 HORIZON LN
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City | AURORA
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State | IL
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Zip | 60502-8646
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Country | US
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Telephone | 312-860-3509
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Fax |
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Provider Business Mailing Address
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Address Line | 1633 HORIZON LN
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City | AURORA
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State | IL
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Zip | 60502-8646
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Country | US
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Telephone | 312-860-3509
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Fax |
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Authorized Official
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Title or Position | AGENCY MANAGER
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Name | NASIRU IBRAHIM
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Credential |
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Telephone | 312-860-3509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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