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General NPI Number Information
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NPI Number | 1043339344
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Entity Type | Organization
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Legal Business Name | HEALING HANDS
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2334 W LAWRENCE AVE SUITE 221
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City | CHICAGO
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State | IL
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Zip | 60625-1948
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Country | US
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Telephone | 773-281-7100
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Fax | 773-654-5202
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Provider Business Mailing Address
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Address Line | 2334 W LAWRENCE AVE SUITE 221
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City | CHICAGO
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State | IL
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Zip | 60625-1948
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Country | US
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Telephone | 773-281-7100
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Fax | 773-654-5202
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Authorized Official
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Title or Position | OWNER
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Name | ELAINE STOCKER
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Credential | D.N.
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Telephone | 773-281-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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