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General NPI Number Information
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NPI Number | 1023694395
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Entity Type | Individual
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Provider Name | ARIHA SHAH
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Gender | Female
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 4400 W 95TH ST
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City | OAK LAWN
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State | IL
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Zip | 60453-2654
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Country | US
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Telephone | 708-684-5832
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Fax | 708-520-1986
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Provider Business Mailing Address
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Address Line | 29373 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1293
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Country | US
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Telephone | 847-390-5900
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Fax | 847-390-4757
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MC61158586
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071-011334
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License Number State | IL
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