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General NPI Number Information
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NPI Number | 1962108605
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Entity Type | Organization
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Legal Business Name | HEALTHCARE EDUCATION RESEARCH AND INNOVATION FOUNDATION
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Dates
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Enumeration Date | 02/03/2023
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 101 MADISON ST STE 300
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City | OAK PARK
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State | IL
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Zip | 60302-4210
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Country | US
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Telephone | 773-849-9406
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Fax |
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Provider Business Mailing Address
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Address Line | 101 MADISON ST STE 300
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City | OAK PARK
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State | IL
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Zip | 60302-4210
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Country | US
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Telephone | 773-849-9406
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DAN ROMAN
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Credential | MBA, CPA
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Telephone | 773-415-4030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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