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General NPI Number Information
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NPI Number | 1104117316
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Entity Type | Organization
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Legal Business Name | SKY IS THE LIMIT RECOVERY FACILITIES
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Dates
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Enumeration Date | 04/21/2011
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 6857 S HALSTED ST FL 2
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City | CHICAGO
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State | IL
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Zip | 60621-1833
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Country | US
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Telephone | 773-994-8244
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Fax | 773-994-8261
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Provider Business Mailing Address
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Address Line | 6857 SOUTH HALSTED 2ND FLOOR
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City | CHICAGO
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State | IL
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Zip | 60621
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Country | US
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Telephone | 773-994-8244
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Fax | 773-994-8261
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Authorized Official
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Title or Position | PRESIDENT/EO
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Name | MR. WILLIAM EARL HARRIS III
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Credential |
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Telephone | 773-994-8256
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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 | A45570002A
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | A45570001A
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License Number State | IL
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