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General NPI Number Information
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NPI Number | 1073995841
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Entity Type | Organization
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Legal Business Name | HAND OVER HAND BEHAVIORAL CONSULTANTS LLC
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Dates
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Enumeration Date | 06/29/2015
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Last Update Date | 10/05/2015
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Provider Practice Location Address
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Address Line | 2248 S MICHIGAN AVE
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City | CHICAGO
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State | IL
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Zip | 60616-5258
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Country | US
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Telephone | 312-842-5083
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Fax | 312-842-5086
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Provider Business Mailing Address
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Address Line | 2248 S MICHIGAN AVE
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City | CHICAGO
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State | IL
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Zip | 60616-5258
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Country | US
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Telephone | 312-842-5083
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Fax | 312-842-5086
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Authorized Official
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Title or Position | OWNER
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Name | MS. MEGAN E JAMES
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Credential | MA BCBA
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Telephone | 312-842-5083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-12-10155
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License Number State | IL
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