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General NPI Number Information
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NPI Number | 1649064312
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Entity Type | Organization
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Legal Business Name | ABA CARE
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1240 FOUNTAIN VIEW ST NE
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City | CANTON
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State | OH
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Zip | 44721-3154
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Country | US
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Telephone | 330-704-7352
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Fax | 330-704-7352
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Provider Business Mailing Address
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Address Line | 1240 FOUNTAIN VIEW ST NE
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City | CANTON
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State | OH
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Zip | 44721-3154
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Country | US
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Telephone | 330-704-7352
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Fax | 330-704-7352
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Authorized Official
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Title or Position | OWNER
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Name | MARK AUSTIN ALLATZAS
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Credential |
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Telephone | 330-704-7352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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