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General NPI Number Information
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NPI Number | 1073365532
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Entity Type | Individual
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Provider Name | GIA COLEMAN CBCS
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Gender | Female
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Dates
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Enumeration Date | 04/05/2024
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 11009 S WENTWORTH AVE
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City | CHICAGO
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State | IL
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Zip | 60628-4220
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Country | US
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Telephone | 773-912-8722
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Fax |
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Provider Business Mailing Address
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Address Line | 5401 W LAWRENCE AVE UNIT 300861
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City | CHICAGO
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State | IL
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Zip | 60630-2778
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247000000X
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Taxonomy Name | Health Information Technician
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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 | 246Y00000X
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Taxonomy Name | Health Information Specialist/Technologist
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License Number |
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License Number State |
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