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General NPI Number Information
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NPI Number | 1740552298
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Entity Type | Organization
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Legal Business Name | AMAZING CARE SYSTEMS INC
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 400 RIVER OAKS DR
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City | CALUMET CITY
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State | IL
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Zip | 60409-5832
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Country | US
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Telephone | 708-933-6556
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Fax | 708-933-6556
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Provider Business Mailing Address
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Address Line | 400 RIVER OAKS DR
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City | CALUMET CITY
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State | IL
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Zip | 60409-5832
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Country | US
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Telephone | 708-933-6556
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Fax | 708-933-6556
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Authorized Official
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Title or Position | CEO/OWNER
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Name | BEAUTY YIBO BERNARD-JUMBO
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Credential | APN
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Telephone | 708-933-6556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1011264
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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