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General NPI Number Information
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NPI Number | 1710317136
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Entity Type | Organization
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Legal Business Name | 3RD GENERATION OF HELPING CORP
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Dates
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Enumeration Date | 11/21/2013
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Last Update Date | 11/21/2013
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Provider Practice Location Address
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Address Line | 7202 W 119TH ST
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1175
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Country | US
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Telephone | 708-827-5654
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Fax | 708-827-5312
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Provider Business Mailing Address
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Address Line | 7202 W 119TH ST
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1175
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Country | US
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Telephone | 708-827-5654
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Fax | 708-827-5312
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KAREN LIDDELL
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Credential |
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Telephone | 773-307-0346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 41132361
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License Number State | IL
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