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General NPI Number Information
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NPI Number | 1932061868
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Entity Type | Organization
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Legal Business Name | HOMETOWN NP IN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 418 BROADWAY STE N
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City | ALBANY
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State | NY
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Zip | 12207-2922
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Country | US
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Telephone | 708-998-2979
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Fax | 708-273-5531
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Provider Business Mailing Address
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Address Line | 10209 W LINCOLN HWY
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City | FRANKFORT
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State | IL
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Zip | 60423-1279
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Country | US
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Telephone | 708-998-2979
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Fax | 708-273-5531
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Authorized Official
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Title or Position | CEO
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Name | CHIME AJIERE
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Credential |
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Telephone | 708-998-2979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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