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General NPI Number Information
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NPI Number | 1942024989
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Entity Type | Organization
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Legal Business Name | COLORS OF HOPE
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 7222 W CERMAK RD STE 410
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City | NORTH RIVERSIDE
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State | IL
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Zip | 60546-1422
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Country | US
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Telephone | 708-442-0023
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Fax | 708-442-0025
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Provider Business Mailing Address
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Address Line | 7222 W CERMAK RD STE 410
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City | NORTH RIVERSIDE
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State | IL
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Zip | 60546-1422
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Country | US
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Telephone | 708-442-0023
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Fax | 708-442-0025
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Authorized Official
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Title or Position | CO-OWNER
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Name | DEBBIE DENEAN HAYMON
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Credential | OTR
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Telephone | 708-227-6593
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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 |
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License Number State |
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