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General NPI Number Information
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NPI Number | 1881804821
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Entity Type | Organization
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Legal Business Name | TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 01/29/2016
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Provider Practice Location Address
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Address Line | 700 S CLINTON ST
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City | CHICAGO
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State | IL
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Zip | 60607-4350
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Country | US
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Telephone | 312-787-0208
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Fax | 312-787-9663
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Provider Business Mailing Address
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Address Line | 700 S CLINTON ST
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City | CHICAGO
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State | IL
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Zip | 60607-4350
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Country | US
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Telephone | 312-787-0208
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Fax | 312-787-9663
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Authorized Official
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Title or Position | VICE PRESIDENT AND CFO
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Name | MR. ROY FESMIRE
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Credential |
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Telephone | 312-573-8271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | A-0637-0005-A
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License Number State | IL
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