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General NPI Number Information
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NPI Number | 1053021121
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Entity Type | Organization
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Legal Business Name | HAPPYIAN LLC
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Dates
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Enumeration Date | 11/30/2022
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 10512 RIDGE COVE DRIVE 22C
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City | CHICAGO RIDGE
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State | IL
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Zip | 60415-1486
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Country | US
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Telephone | 773-553-0900
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Fax | 833-409-2227
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Provider Business Mailing Address
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Address Line | 10512 RIDGE COVE DRIVE 22C
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City | CHICAGO RIDGE
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State | IL
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Zip | 60415-1486
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Country | US
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Telephone | 773-553-0900
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Fax | 833-409-2227
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MONIKA ALINA PRZYSIEZNA
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Credential |
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Telephone | 708-949-1967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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