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General NPI Number Information
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NPI Number | 1265539449
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Entity Type | Organization
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Legal Business Name | FAMILY PARTNERSHIP ASSOCIATES
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 872 S MILWAUKEE AVE # 122
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-3227
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Country | US
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Telephone | 847-816-3800
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Fax | 847-574-8193
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Provider Business Mailing Address
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Address Line | 872 S MILWAUKEE AVE # 122
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-3227
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Country | US
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Telephone | 847-816-3800
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Fax | 847-574-8193
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER H LEAHY-JUNAS
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Credential |
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Telephone | 847-816-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 149007796
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License Number State | IL
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