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General NPI Number Information
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NPI Number | 1437999190
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Entity Type | Organization
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Legal Business Name | COME AS YOU ARE, NOT FOR PROFIT
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 11309 DISTINCTIVE DR STE 3
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City | ORLAND PARK
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State | IL
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Zip | 60467-9491
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Country | US
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Telephone | 708-515-1560
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Fax | 878-201-9103
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Provider Business Mailing Address
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Address Line | 11309 DISTINCTIVE DR STE 3
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City | ORLAND PARK
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State | IL
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Zip | 60467-9491
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Country | US
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Telephone | 708-515-1560
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Fax | 878-201-9103
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Authorized Official
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Title or Position | PRESIDENT
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Name | KIMBERLY LOPEZ
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Credential | DNP, CNP, FPA-APRN
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Telephone | 708-515-1560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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