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General NPI Number Information
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NPI Number | 1578285474
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Entity Type | Individual
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Provider Name | GANESSA MEJIAS BA
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Gender | Female
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Dates
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Enumeration Date | 09/16/2022
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 405 CENTRAL AVE
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City | NORTHFIELD
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State | IL
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Zip | 60093-3006
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Country | US
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Telephone | 773-474-2537
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Fax |
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Provider Business Mailing Address
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Address Line | 10638 S BENSLEY AVE
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City | CHICAGO
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State | IL
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Zip | 60617-6130
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Country | US
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Telephone | 773-474-2537
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | IL
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