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General NPI Number Information
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NPI Number | 1467796037
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Entity Type | Organization
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Legal Business Name | EUROPEAN SERVICE AT HOME INC.
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Dates
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Enumeration Date | 11/20/2012
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Last Update Date | 11/01/2018
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Provider Practice Location Address
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Address Line | 225 BARRON BLVD
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City | GRAYSLAKE
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State | IL
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Zip | 60030-1637
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Country | US
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Telephone | 847-752-6699
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Fax | 847-740-0908
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Provider Business Mailing Address
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Address Line | 520 N HICKS RD
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City | PALATINE
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State | IL
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Zip | 60067-3607
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Country | US
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Telephone | 847-202-1249
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Fax | 847-202-3266
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Authorized Official
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Title or Position | PRESIDENT
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Name | SERGEY YAKOVLEV
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Credential |
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Telephone | 847-202-1249
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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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