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General NPI Number Information
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NPI Number | 1164693107
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Entity Type | Organization
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Legal Business Name | HEALTHY PEOPLE, 2000 INC.
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 1006 E 62ND ST UNIT A
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City | CHICAGO
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State | IL
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Zip | 60637-2773
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Country | US
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Telephone | 773-667-9870
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Fax | 773-667-9871
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Provider Business Mailing Address
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Address Line | 1006A E. 62ND ST
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City | CHICAGO
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State | IL
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Zip | 60637
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Country | US
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Telephone | 773-667-9870
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Fax | 773-667-9871
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | PATRICIA ANN YOUNG
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Credential |
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Telephone | 773-667-9870
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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 |
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License Number State | IL
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