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General NPI Number Information
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NPI Number | 1881760353
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL ACCOUNTS RECEIVABLE MANAGEMENT TEAM
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | 1820 RIDGE RD SUITE 104
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City | HOMEWOOD
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State | IL
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Zip | 60430-1760
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Country | US
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Telephone | 708-647-7550
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Fax | 708-647-7564
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Provider Business Mailing Address
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Address Line | 1820 RIDGE RD SUITE 104
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City | HOMEWOOD
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State | IL
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Zip | 60430-1760
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Country | US
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Telephone | 708-647-7550
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Fax | 708-647-7564
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Authorized Official
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Title or Position | DIRECTOR
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Name | SABRINA M MOORE
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Credential |
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Telephone | 708-647-7550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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