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General NPI Number Information
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NPI Number | 1134550775
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Entity Type | Organization
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Legal Business Name | ATTUNE THERAPY, INC.
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Dates
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Enumeration Date | 12/09/2013
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Last Update Date | 12/09/2013
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Provider Practice Location Address
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Address Line | 2034 N MOHAWK ST UNIT 3
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City | CHICAGO
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State | IL
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Zip | 60614-4515
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Country | US
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Telephone | 847-602-0080
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Fax |
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Provider Business Mailing Address
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Address Line | 2034 N MOHAWK ST UNIT 3
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City | CHICAGO
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State | IL
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Zip | 60614-4515
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Country | US
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Telephone | 847-602-0080
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL MANAGER
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Name | MISS ANGELA MAY GOUDSCHAAL
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Credential | MOTR/L
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Telephone | 847-602-0080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 056-005426
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License Number State | IL
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