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General NPI Number Information
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NPI Number | 1821508276
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Entity Type | Organization
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Legal Business Name | ABA HOME HEALTH INC
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 10/11/2017
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Provider Practice Location Address
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Address Line | 1060 N FARNSWORTH AVE APT 1113
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City | AURORA
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State | IL
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Zip | 60505-2096
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Country | US
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Telephone | 630-864-2770
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Fax |
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Provider Business Mailing Address
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Address Line | 1060 N FARNSWORTH AVE APT 1113
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City | AURORA
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State | IL
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Zip | 60505-2096
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Country | US
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Telephone | 630-864-2770
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE
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Name | ULJAN COBO
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Credential |
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Telephone | 630-827-1117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 3001490
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License Number State | IL
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