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General NPI Number Information
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NPI Number | 1033903737
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Entity Type | Individual
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Provider Name | ANA MORENO LPC
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Gender | Female
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 4905 OLD ORCHARD CTR STE 422
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City | SKOKIE
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State | IL
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Zip | 60077-4738
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Country | US
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Telephone | 312-620-1420
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Fax |
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Provider Business Mailing Address
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Address Line | 6801 W CLEVELAND ST
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City | NILES
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State | IL
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Zip | 60714-2603
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Country | US
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Telephone | 815-354-5093
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178.020533
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License Number State | IL
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