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General NPI Number Information
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NPI Number | 1659275808
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Entity Type | Organization
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Legal Business Name | AMAZING ADULT DAYCARE LLC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 710 E OGDEN AVE STE 690
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City | NAPERVILLE
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State | IL
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Zip | 60563-8641
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Country | US
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Telephone | 773-454-7595
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Fax |
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Provider Business Mailing Address
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Address Line | 710 E OGDEN AVE STE 690
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City | NAPERVILLE
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State | IL
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Zip | 60563-8641
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Country | US
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Telephone | 773-454-7595
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | RAYMOND TABELIN
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Credential |
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Telephone | 708-928-9626
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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 | NULL
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