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General NPI Number Information
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NPI Number | 1710907555
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Entity Type | Organization
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Legal Business Name | HUMAN ENHANCEMENT SERVICES NFP
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4936 W CHICAGO AVE
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City | CHICAGO
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State | IL
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Zip | 60651-3142
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Country | US
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Telephone | 773-379-2023
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Fax |
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Provider Business Mailing Address
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Address Line | 4936 W CHICAGO AVE
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City | CHICAGO
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State | IL
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Zip | 60651-3142
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Country | US
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Telephone | 773-379-2023
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. CARMENCITA GARCIA SENSENG
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Credential |
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Telephone | 773-379-2023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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