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General NPI Number Information
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NPI Number | 1356136196
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Entity Type | Organization
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Legal Business Name | NAMASPORT, INC.
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 410 S MICHIGAN AVE STE 730
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City | CHICAGO
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State | IL
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Zip | 60605-1387
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Country | US
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Telephone | 970-639-1681
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Fax |
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Provider Business Mailing Address
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Address Line | 31 PORTSHIRE DR
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069-3328
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE PINSLER
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Credential |
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Telephone | 970-639-1681
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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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