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General NPI Number Information
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NPI Number | 1407579923
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Entity Type | Organization
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Legal Business Name | TEACHTEAM NFP
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 02/10/2024
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Provider Practice Location Address
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Address Line | 17500 N BAY RD UNIT SOUTH608
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-2872
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Country | US
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Telephone | 708-927-3556
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Fax |
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Provider Business Mailing Address
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Address Line | 607 W MAIN ST
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City | LEXINGTON
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State | IL
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Zip | 61753-1225
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Country | US
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Telephone | 708-927-3556
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARC P MERCADO
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Credential | JD
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Telephone | 708-927-3556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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