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General NPI Number Information
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NPI Number | 1831324136
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Entity Type | Organization
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Legal Business Name | HUNT'S EARLY CHILDHOOD EDUCATIONAL ACADEMY, LTD.
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Dates
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Enumeration Date | 05/16/2009
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Last Update Date | 05/16/2009
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Provider Practice Location Address
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Address Line | 2701 W 79TH ST
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City | CHICAGO
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State | IL
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Zip | 60652-1724
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Country | US
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Telephone | 708-299-8824
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Fax |
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Provider Business Mailing Address
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Address Line | 19020 CANTERBURY PL
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City | COUNTRY CLUB HILLS
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State | IL
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Zip | 60478-5220
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Country | US
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Telephone | 708-299-8824
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SALLIE PEARL PINKSTON
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Credential | DOCTORATE DEGREE
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Telephone | 708-299-8824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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