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General NPI Number Information
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NPI Number | 1598218604
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Entity Type | Organization
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Legal Business Name | 3YS SERVICE, INC
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Dates
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Enumeration Date | 07/26/2016
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Last Update Date | 07/26/2016
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Provider Practice Location Address
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Address Line | 914 E 54TH ST
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City | CHICAGO
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State | IL
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Zip | 60615-5018
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Country | US
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Telephone | 708-334-6195
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Fax |
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Provider Business Mailing Address
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Address Line | 914 E 54TH ST
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City | CHICAGO
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State | IL
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Zip | 60615-5018
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Country | US
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Telephone | 708-334-6195
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DEMETRIS JANTUAH
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Credential | RN, ALZ INSTR
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Telephone | 708-334-6195
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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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