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NPI 1508633785

NPI 1508633785 : MARCI KLEEMAN HHP : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1508633785
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    Entity Type          |    Individual 
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    Provider Name        |    MARCI KLEEMAN HHP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/07/2023
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    Last Update Date     |    12/07/2023
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Provider Practice Location Address
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    Address Line         |    5444 N WINTHROP AVE # 3N 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60640-1785
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    Country              |    US
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    Telephone            |    224-587-0055
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5444 N WINTHROP AVE # 3N 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60640-1785
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    Country              |    US
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    Telephone            |    224-587-0055
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171400000X
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    Taxonomy Name        |    Health & Wellness Coach
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    License Number       |    
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    License Number State |    
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