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General NPI Number Information
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NPI Number | 1720580889
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Entity Type | Organization
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Legal Business Name | BASES GROUP INC
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Dates
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Enumeration Date | 03/05/2018
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 901 BIESTERFIELD RD STE 110
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3393
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Country | US
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Telephone | 630-303-6825
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Fax |
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Provider Business Mailing Address
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Address Line | 901 BIESTERFIELD RD STE 110
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3393
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Country | US
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Telephone | 630-303-6825
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MUHAMMAD IMRAN ALVI
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Credential | BCBA
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Telephone | 630-303-6825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-14-10456
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License Number State | CO
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