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General NPI Number Information
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NPI Number | 1932708690
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Entity Type | Organization
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Legal Business Name | MUCCI WORLD MANAGEMENT INC,.
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Dates
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Enumeration Date | 10/22/2020
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Last Update Date | 10/22/2020
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Provider Practice Location Address
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Address Line | 7913 171ST ST
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City | TINLEY PARK
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State | IL
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Zip | 60477-3244
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Country | US
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Telephone | 708-400-9977
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Fax | 708-570-0885
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Provider Business Mailing Address
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Address Line | 7913 171ST ST
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City | TINLEY PARK
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State | IL
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Zip | 60477-3244
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Country | US
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Telephone | 708-400-9977
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Fax | 708-570-0885
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARY ELIZABETH MUCCI
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Credential |
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Telephone | 708-400-9977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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