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General NPI Number Information
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NPI Number | 1275560237
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Entity Type | Organization
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Legal Business Name | THE CHILDREN'S PLACE ASSOCIATION
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3059 W AUGUSTA BLVD
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City | CHICAGO
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State | IL
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Zip | 60622-4314
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Country | US
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Telephone | 773-826-1230
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Fax | 773-826-0705
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Provider Business Mailing Address
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Address Line | 3059 W. AUGUSTA BLVD.
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City | CHICAGO
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State | IL
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Zip | 60010
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Country | US
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Telephone | 773-826-1230
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Fax | 773-826-0705
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | MS. CATHY KRIEGER
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Credential |
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Telephone | 773-826-1230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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