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General NPI Number Information
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NPI Number | 1902593445
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Entity Type | Organization
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Legal Business Name | NOURISHING HOPE
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Dates
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Enumeration Date | 04/24/2023
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 3945 N SHERIDAN RD
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City | CHICAGO
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State | IL
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Zip | 60613-2936
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Country | US
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Telephone | 773-525-1777
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Fax | 773-525-7310
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Provider Business Mailing Address
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Address Line | 1716 W HUBBARD ST
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City | CHICAGO
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State | IL
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Zip | 60622-6214
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Country | US
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Telephone | 773-525-1777
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Fax | 773-525-7310
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Authorized Official
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Title or Position | CHIEF PROGRAM OFFICER
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Name | JENNIFER FILICKY HULL
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Credential | LCPC
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Telephone | 773-525-1777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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