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General NPI Number Information
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NPI Number | 1487288841
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Entity Type | Organization
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Legal Business Name | ACCESS PLUS INC
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 02/25/2020
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Provider Practice Location Address
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Address Line | 17409 HUMBER LN
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City | TINLEY PARK
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State | IL
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Zip | 60487-2209
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Country | US
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Telephone | 773-817-2110
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Fax |
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Provider Business Mailing Address
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Address Line | 835 E 87TH ST
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City | CHICAGO
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State | IL
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Zip | 60619-6203
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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/ADMINISTRATOR
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Name | SAM AIWUYO
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Credential |
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Telephone | 773-817-2110
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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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