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General NPI Number Information
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NPI Number | 1881476984
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Entity Type | Organization
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Legal Business Name | B.E.L.A. CHARITIES, INC.
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 19070 EVERETT BLVD UNIT 207
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City | MOKENA
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State | IL
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Zip | 60448-2073
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Country | US
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Telephone | 708-620-6910
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Fax |
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Provider Business Mailing Address
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Address Line | 7710 W 127TH ST
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1257
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Country | US
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Telephone | 708-620-6910
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DEBORAH MARY LYNCH
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Credential | PH.D.
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Telephone | 312-890-7713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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