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General NPI Number Information
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NPI Number | 1801556733
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Entity Type | Organization
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Legal Business Name | BEYOND LIMITS BEHAVIORAL SERVICES INC
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Dates
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Enumeration Date | 12/20/2021
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 5059 W OAKDALE AVE
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City | CHICAGO
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State | IL
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Zip | 60641-5016
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Country | US
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Telephone | 773-831-9950
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Fax |
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Provider Business Mailing Address
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Address Line | 5059 W OAKDALE AVE
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City | CHICAGO
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State | IL
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Zip | 60641-5016
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Country | US
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Telephone | 773-831-9950
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | SHAJAN KURIAKOSE
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Credential |
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Telephone | 773-875-1507
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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