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General NPI Number Information
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NPI Number | 1043673551
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Entity Type | Organization
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Legal Business Name | EXPRESSIVE HEALTHCARE SOLUTIONS, INC.
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 04/01/2016
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Provider Practice Location Address
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Address Line | 25 WINFIELD ROAD
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City | WINFIELD
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State | IL
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Zip | 60190-1136
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Country | US
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Telephone | 630-750-0670
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Fax |
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Provider Business Mailing Address
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Address Line | 41W798 BEITH ROAD
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City | CAMPTON HILLS
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State | IL
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Zip | 60119
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Country | US
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Telephone | 630-750-0670
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Fax |
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Authorized Official
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Title or Position | MUSIC THERAPIST/OWNER
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Name | MRS. STEPHANIE KLEBA
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Credential | MT-BC
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Telephone | 630-750-0670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 07229
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License Number State |
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