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General NPI Number Information
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NPI Number | 1568284941
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Entity Type | Individual
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Provider Name | DESPINA HADJIAGAPIOU
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Gender | Female
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 565 LAKEVIEW PWKY STE 150
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City | VERNON HILLS
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State | IL
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Zip | 60061
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Country | US
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Telephone | 866-815-6592
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Fax |
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Provider Business Mailing Address
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Address Line | 99 OAK LEAF LN APT 306
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City | VERNON HILLS
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State | IL
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Zip | 60061-1871
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Country | US
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Telephone | 708-870-3737
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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