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General NPI Number Information
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NPI Number | 1457583569
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Entity Type | Organization
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Legal Business Name | E I FOR TOTS INC,
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Dates
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Enumeration Date | 08/23/2009
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Last Update Date | 08/23/2009
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Provider Practice Location Address
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Address Line | 4800 S CHICAGO BEACH DR #1701 SO.
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City | CHICAGO
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State | IL
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Zip | 60615-7032
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Country | US
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Telephone | 773-268-3140
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 S CHICAGO BEACH DR #1701 SO.
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City | CHICAGO
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State | IL
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Zip | 60615-7032
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Country | US
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Telephone | 773-268-3140
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Fax |
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Authorized Official
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Title or Position | DEVELOPMENTAL THERAPIST
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Name | VIVIAN MARIE HEMBY
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Credential | M.A HUMAN SERVICES
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Telephone | 773-507-4416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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