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General NPI Number Information
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NPI Number | 1043759939
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Entity Type | Organization
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Legal Business Name | ROYALTY INTERVENTION GROUP INC
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 10307 S PEORIA ST SUITE 100
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City | CHICAGO
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State | IL
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Zip | 60643-3007
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Country | US
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Telephone | 708-715-1575
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Fax |
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Provider Business Mailing Address
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Address Line | 10307 S PEORIA ST SUITE 100
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City | CHICAGO
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State | IL
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Zip | 60643-3007
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANGELA RATCLIFFE
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Credential |
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Telephone | 708-715-1575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | IL
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