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General NPI Number Information
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NPI Number | 1013108224
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Entity Type | Individual
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Provider Name | EMMA B. COATE LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 1525 E 53RD ST STE 933
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City | CHICAGO
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State | IL
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Zip | 60615-4572
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Country | US
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Telephone | 773-219-0605
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Fax |
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Provider Business Mailing Address
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Address Line | 1438 E 55TH ST
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City | CHICAGO
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State | IL
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Zip | 60615-5420
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Country | US
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Telephone | 773-970-9708
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150.009957
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149015018
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.015018
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License Number State | IL
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