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General NPI Number Information
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NPI Number | 1457489668
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Entity Type | Organization
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Legal Business Name | ADVANCED PROFESSIONALS HEALTHCARE, LLC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 440 W BOUGHTON RD SUITE D
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City | BOLINGBROOK
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State | IL
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Zip | 60440-1892
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Country | US
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Telephone | 877-771-0197
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Fax | 630-771-0190
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Provider Business Mailing Address
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Address Line | 440 W BOUGHTON RD SUITE D
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City | BOLINGBROOK
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State | IL
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Zip | 60440-1892
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Country | US
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Telephone | 877-771-0197
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Fax | 630-771-0190
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CECILIA CHUA MINCHESKI
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Credential | CPA
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Telephone | 877-771-0197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1010601
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License Number State | IL
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