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General NPI Number Information
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NPI Number | 1942011424
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Entity Type | Individual
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Provider Name | FELICIA SAFFOLD LMT
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Gender | Female
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 4555 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60625-2102
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Country | US
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Telephone | 847-791-7012
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Fax |
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Provider Business Mailing Address
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Address Line | 427 CORNELL AVE
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City | CALUMET CITY
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State | IL
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Zip | 60409-2101
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Country | US
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Telephone | 773-597-8258
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 227.021947
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License Number State | IL
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