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General NPI Number Information
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NPI Number | 1760892574
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Entity Type | Organization
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Legal Business Name | KNEW EXPECTATIONS AND ASSOCIATES,INC.
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Dates
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Enumeration Date | 05/01/2014
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Last Update Date | 05/01/2014
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Provider Practice Location Address
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Address Line | 12520 S STEWART AVE
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City | CHICAGO
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State | IL
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Zip | 60628-7231
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Country | US
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Telephone | 773-439-9908
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Fax | 312-264-0372
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Provider Business Mailing Address
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Address Line | 12520 S STEWART AVE
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City | CHICAGO
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State | IL
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Zip | 60628-7231
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Country | US
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Telephone | 773-439-9908
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Fax | 312-264-0372
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MR. MORA SPICER II
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Credential | MSW, CADC
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Telephone | 404-720-4056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 69251749
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License Number State | IL
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