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General NPI Number Information
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NPI Number | 1740815331
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Entity Type | Organization
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Legal Business Name | HORIZON SCIENCE ACADEMY-MCKINLEY PARK
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Dates
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Enumeration Date | 03/04/2020
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Last Update Date | 03/04/2020
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Provider Practice Location Address
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Address Line | 2245 W PERSHING RD
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City | CHICAGO
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State | IL
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Zip | 60609-2211
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Country | US
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Telephone | 773-247-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 2245 W PERSHING RD
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City | CHICAGO
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State | IL
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Zip | 60609-2211
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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 | VENDOR
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Name | BRYAN PULLEN
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Credential |
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Telephone | 309-839-2058
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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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