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General NPI Number Information
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NPI Number | 1720280241
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Entity Type | Organization
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Legal Business Name | J S MORTON H S DISTRICT 201
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2433 S AUSTIN BLVD
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City | CICERO
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State | IL
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Zip | 60650-2627
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Country | US
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Telephone | 708-222-5837
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Fax |
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Provider Business Mailing Address
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Address Line | 2433 S AUSTIN BLVD
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City | CICERO
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State | IL
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Zip | 60650-2627
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CYNDI DEROBERTIS
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Credential |
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Telephone | 708-222-5837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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