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General NPI Number Information
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NPI Number | 1700662764
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Entity Type | Organization
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Legal Business Name | INSTITUTE FOR THE HEALING ARTS LLC
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 920 N YORK RD STE 200
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City | HINSDALE
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State | IL
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Zip | 60521-8626
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Country | US
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Telephone | 312-719-9027
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Fax |
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Provider Business Mailing Address
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Address Line | 11120 LAUREL HILL DR
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City | ORLAND PARK
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State | IL
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Zip | 60467-8728
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Country | US
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Telephone | 312-719-9027
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRED A JOSHUA
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Credential |
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Telephone | 312-719-9027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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