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General NPI Number Information
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NPI Number | 1477392009
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Entity Type | Organization
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Legal Business Name | HEALTHY ALL TIME LLC
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 7124 W 83RD ST
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City | BRIDGEVIEW
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State | IL
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Zip | 60455-4034
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Country | US
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Telephone | 224-410-6607
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Fax |
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Provider Business Mailing Address
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Address Line | 7124 W 83RD ST
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City | BRIDGEVIEW
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State | IL
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Zip | 60455-4034
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Country | US
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Telephone | 708-529-1242
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Fax | 223-290-1019
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Authorized Official
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Title or Position | MANAGER
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Name | DANIA ALNATSHEH
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Credential |
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Telephone | 224-666-3548
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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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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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