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General NPI Number Information
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NPI Number | 1174991616
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Entity Type | Organization
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Legal Business Name | HERITAGE PROFESSIONAL ASSOCIATES
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Dates
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Enumeration Date | 09/14/2015
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Last Update Date | 09/14/2015
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Provider Practice Location Address
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Address Line | 1 GALE AVE 2E
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City | RIVER FOREST
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State | IL
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Zip | 60305-2065
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Country | US
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Telephone | 708-296-9023
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Fax |
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Provider Business Mailing Address
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Address Line | 1 GALE AVE 2E
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City | RIVER FOREST
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State | IL
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Zip | 60305-2065
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Country | US
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Telephone | 708-296-9023
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. THOMAS L SCHEMPER
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Credential | PHD
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Telephone | 312-787-8425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 178.010925
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License Number State | IL
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