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General NPI Number Information
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NPI Number | 1023169893
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Entity Type | Organization
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Legal Business Name | HUMAN SERVICES, INC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6111 HARRISON ST
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City | MERRILLVILLE
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State | IN
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Zip | 46410-2969
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Country | US
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Telephone | 708-754-8815
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Fax | 708-798-1315
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Provider Business Mailing Address
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Address Line | 3235 VOLLMER RD SUITE 119
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City | FLOSSMOOR
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State | IL
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Zip | 60422-2013
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Country | US
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Telephone | 708-754-8815
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Fax | 708-798-1315
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Authorized Official
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Title or Position | PRESIDENT AND CHIEF EXECUTIVE OFFIC
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Name | MR. DENNIS REGINER
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Credential |
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Telephone | 708-444-1012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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