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General NPI Number Information
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NPI Number | 1912288549
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Entity Type | Organization
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Legal Business Name | THE SKY IS THE LIMIT RECOVERY FACILITIES, INC.
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 09/09/2011
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Provider Practice Location Address
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Address Line | 6857 S HALSTED ST 2
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City | CHICAGO
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State | IL
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Zip | 60621-1833
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Country | US
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Telephone | 773-994-8256
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Fax | 773-994-8261
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Provider Business Mailing Address
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Address Line | 6857 S HALSTED ST 2
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City | CHICAGO
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State | IL
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Zip | 60621-1833
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Country | US
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Telephone | 773-994-8256
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Fax | 773-994-8261
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. WILLIAM E. HARRIS III
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Credential |
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Telephone | 773-994-8244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | A45570002
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License Number State | IL
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