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General NPI Number Information
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NPI Number | 1285516468
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Entity Type | Organization
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Legal Business Name | INFINITE ABILITIES LLC
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 2115 MAPLEWOOD RD
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City | FORT WAYNE
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State | IN
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Zip | 46819-1644
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Country | US
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Telephone | 917-497-3181
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Fax |
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Provider Business Mailing Address
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Address Line | 825 MORRISON AVE APT 18D
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City | BRONX
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State | NY
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Zip | 10473-4440
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Country | US
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Telephone | 917-497-3181
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. DANEIL SUE WILLIAMS
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Credential |
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Telephone | 917-497-3181
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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 |
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