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General NPI Number Information
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NPI Number | 1144549742
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Entity Type | Organization
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Legal Business Name | GOOD TIME THERAPY INC
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Dates
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Enumeration Date | 05/21/2010
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Last Update Date | 05/21/2010
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Provider Practice Location Address
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Address Line | 259 E TALL TREES LN
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City | PALATINE
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State | IL
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Zip | 60067-7553
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Country | US
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Telephone | 847-496-5411
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Fax | 847-496-5411
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Provider Business Mailing Address
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Address Line | PO BOX 8748
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City | ROLLING MEADOWS
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State | IL
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Zip | 60008-8748
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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 | OWNER
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Name | BEATA PILECZKA
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Credential |
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Telephone | 224-578-2612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 160002145
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License Number State | IL
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