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General NPI Number Information
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NPI Number | 1720841901
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Entity Type | Organization
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Legal Business Name | CHILDREN AND PARENTS EXCELLING
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Dates
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Enumeration Date | 01/31/2024
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 14844 ASHLAND AVE APT 1
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City | HARVEY
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State | IL
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Zip | 60426-2109
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Country | US
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Telephone | 219-699-7947
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Fax |
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Provider Business Mailing Address
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Address Line | 203 E MAIN ST UNIT 1355
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City | JAMESTOWN
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State | NC
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Zip | 27282-0060
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Country | US
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Telephone | 219-699-7947
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. VASHTI ROSE HATCH
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Credential | CADC
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Telephone | 219-699-7947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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