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General NPI Number Information
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NPI Number | 1164394615
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Entity Type | Organization
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Legal Business Name | HEALING SEASON HOLISTIC HEALTH LLC
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 10820 S DREW ST
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City | CHICAGO
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State | IL
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Zip | 60643-3426
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Country | US
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Telephone | 773-370-1999
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Fax |
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Provider Business Mailing Address
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Address Line | 10820 S DREW ST
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City | CHICAGO
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State | IL
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Zip | 60643-3426
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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 | ROBERT WOODS
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Credential |
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Telephone | 773-370-1999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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