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General NPI Number Information
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NPI Number | 1013530104
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Entity Type | Individual
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Provider Name | REGINALD P JACKSON
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Gender | Male
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Dates
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Enumeration Date | 05/22/2020
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Last Update Date | 05/22/2020
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Provider Practice Location Address
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Address Line | 4081 SOUTHWICK DRIVE 3RD FLOOR
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City | MATTESON
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State | IL
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Zip | 60443-6044
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Country | US
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Telephone | 708-747-2655
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Fax |
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Provider Business Mailing Address
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Address Line | 1524 SHIRLEY DR STE 2008
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City | CALUMET CITY
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State | IL
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Zip | 60409-6213
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Country | US
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Telephone | 708-288-4033
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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