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General NPI Number Information
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NPI Number | 1508663022
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Entity Type | Organization
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Legal Business Name | CREATIVE SERVICES INC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 600 HOLIDAY PLAZA DR STE 169
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City | MATTESON
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State | IL
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Zip | 60443-2236
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Country | US
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Telephone | 708-898-1801
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Fax | 708-265-5405
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Provider Business Mailing Address
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Address Line | 600 HOLIDAY PLAZA DR STE 169
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City | MATTESON
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State | IL
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Zip | 60443-2236
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Country | US
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Telephone | 708-898-1801
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Fax | 708-265-5405
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Authorized Official
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Title or Position | OWNER/AGENCY MANAGER
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Name | TASHEMA HAYNES
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Credential |
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Telephone | 708-898-1801
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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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