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General NPI Number Information
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NPI Number | 1114718657
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Entity Type | Organization
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Legal Business Name | FOCUSED HEALING PLLC
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 201 PARK PL STE 11
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City | BOURBONNAIS
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State | IL
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Zip | 60914-1883
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Country | US
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Telephone | 815-348-9771
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Fax |
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Provider Business Mailing Address
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Address Line | 9 EMERY DR
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City | BOURBONNAIS
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State | IL
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Zip | 60914-1009
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Country | US
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Telephone | 815-549-6144
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAYLOR EWING
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Credential | LCPC
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Telephone | 815-348-9771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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