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General NPI Number Information
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NPI Number | 1013760784
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Entity Type | Organization
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Legal Business Name | FABLES LLC
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Dates
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Enumeration Date | 04/10/2024
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 4201 N ASHLAND AVE APT 1
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City | CHICAGO
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State | IL
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Zip | 60613-1258
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Country | US
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Telephone | 501-548-7201
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 N ASHLAND AVE APT 1
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City | CHICAGO
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State | IL
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Zip | 60613-1258
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Country | US
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Telephone | 501-548-7201
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | MR. DONALD R WATSON II
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Credential | LMFT
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Telephone | 501-548-7201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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