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General NPI Number Information
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NPI Number | 1518180892
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Entity Type | Organization
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Legal Business Name | HEALTHY LIVING INTERNATIONAL
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 148 S BLOOMINGDALE RD SUITE 112
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1492
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Country | US
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Telephone | 630-894-4451
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Fax | 630-894-2876
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Provider Business Mailing Address
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Address Line | 148 S BLOOMINGDALE RD
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1492
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Country | US
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Telephone | 630-894-4451
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Fax | 630-894-2876
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Authorized Official
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Title or Position | OWNER AND DIRECTOR
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Name | MISS PATRICIA SCOTT
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Credential |
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Telephone | 630-894-4451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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