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General NPI Number Information
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NPI Number | 1851855969
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Entity Type | Organization
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Legal Business Name | FAMILY FOCUS INC.
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Dates
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Enumeration Date | 01/23/2019
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 3517 W ARTHINGTON ST
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City | CHICAGO
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State | IL
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Zip | 60624-4165
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Country | US
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Telephone | 773-722-5057
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Fax |
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Provider Business Mailing Address
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Address Line | 310 S PEORIA ST STE 301
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City | CHICAGO
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State | IL
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Zip | 60607-3534
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Country | US
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Telephone | 312-421-5200
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Fax |
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Authorized Official
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Title or Position | CLINICAL SUPERVISOR
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Name | CARLETTE S SCOTT
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Credential | LCPC
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Telephone | 733-960-0366
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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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