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General NPI Number Information
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NPI Number | 1669023990
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Entity Type | Organization
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Legal Business Name | CURRACKSON LEARNING CENTER
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Dates
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Enumeration Date | 09/27/2019
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | 4448 S PRAIRIE AVE STE 4
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City | CHICAGO
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State | IL
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Zip | 60653-3208
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Country | US
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Telephone | 773-370-4499
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Fax |
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Provider Business Mailing Address
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Address Line | 4448 S PRAIRIE AVE STE 4
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City | CHICAGO
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State | IL
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Zip | 60653-3208
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Country | US
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Telephone | 773-370-4499
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. KENNETH W CURRY JR.
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Credential | EDUCATION
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Telephone | 773-370-4499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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