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General NPI Number Information
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NPI Number | 1649705237
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Entity Type | Individual
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Provider Name | KIM M BILLS RBT
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Gender | Female
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Dates
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Enumeration Date | 04/21/2017
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Last Update Date | 04/21/2017
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Provider Practice Location Address
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Address Line | 452 N EOLA RD SUITE A
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City | AURORA
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State | IL
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Zip | 60502-9612
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Country | US
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Telephone | 630-999-0401
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Fax | 630-421-9669
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Provider Business Mailing Address
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Address Line | 300 S ROSELLE RD 117
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City | SCHAUMBURG
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State | IL
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Zip | 60193-1650
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Country | US
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Telephone | 847-964-0090
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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 | RBT-17-30655
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License Number State | IL
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