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General NPI Number Information
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NPI Number | 1801556964
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Entity Type | Organization
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Legal Business Name | AFRICAN AMERICAN CHRISTIAN FOUNDATION
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Dates
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Enumeration Date | 12/29/2021
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Last Update Date | 01/02/2022
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Provider Practice Location Address
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Address Line | 6707 NORTH AVE
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City | OAK PARK
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State | IL
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Zip | 60302-1006
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Country | US
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Telephone | 708-848-1700
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Fax | 708-848-3710
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Provider Business Mailing Address
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Address Line | 6707 NORTH AVE
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City | OAK PARK
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State | IL
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Zip | 60302-1006
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Country | US
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Telephone | 708-848-1700
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Fax | 708-848-3710
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Authorized Official
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Title or Position | PSYCHLOGIST
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Name | GLADYS GYABAAH GYABAAH
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Credential | PHD
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Telephone | 773-867-0635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1000X
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Taxonomy Name | Migrant Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 286500000X
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Taxonomy Name | Military Hospital
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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