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General NPI Number Information
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NPI Number | 1851576599
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Entity Type | Organization
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Legal Business Name | WARD HOUSE SUPPORTIVE SERVICES, INC
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 1049 W 87TH ST
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City | CHICAGO
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State | IL
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Zip | 60620-3328
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Country | US
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Telephone | 773-846-1589
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Fax |
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Provider Business Mailing Address
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Address Line | 1049 W 87TH ST
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City | CHICAGO
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State | IL
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Zip | 60620-3328
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Country | US
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Telephone | 773-846-1589
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. CYNTHIA WARD
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Credential | MPH
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Telephone | 773-846-1589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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