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General NPI Number Information
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NPI Number | 1437501137
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Entity Type | Organization
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Legal Business Name | AWAKENING HOPE FAMILY SERVICES INC
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 07/06/2016
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Provider Practice Location Address
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Address Line | 7156 W 127TH ST SUITE 125
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1560
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Country | US
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Telephone | 708-738-2564
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Fax | 815-846-2741
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Provider Business Mailing Address
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Address Line | 7156 W 127TH ST SUITE 125
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1560
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Country | US
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Telephone | 708-738-2564
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Fax | 815-846-2741
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Authorized Official
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Title or Position | CEO
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Name | MISS VERLINE MONICK GADDIS
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Credential |
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Telephone | 708-738-2564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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