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General NPI Number Information
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NPI Number | 1801740964
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE CREATIVE CARE 2
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 3630 WATKINS CT
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City | MARKHAM
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State | IL
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Zip | 60428-5448
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Country | US
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Telephone | 708-928-2024
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Fax | 949-841-0532
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Provider Business Mailing Address
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Address Line | 3630 WATKINS CT
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City | MARKHAM
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State | IL
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Zip | 60428-5448
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Country | US
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Telephone | 708-928-2024
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Fax | 949-841-0532
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | SHARAINE JAMES
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Credential | DNP, APRN-FPA, FNP-B
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Telephone | 708-439-3058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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