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General NPI Number Information
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NPI Number | 1063238988
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Entity Type | Organization
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Legal Business Name | ALIGN LIFE THERAPY, PLLC
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 2150 E LAKE COOK RD FL 9
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-1862
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Country | US
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Telephone | 224-412-8327
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Fax |
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Provider Business Mailing Address
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Address Line | 2150 E LAKE COOK RD FL 9
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-1862
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Country | US
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Telephone | 224-412-8327
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PROFESSIONAL COUN
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Name | AMANDA LAI WAI KUEN
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Credential | MA
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Telephone | 224-412-8327
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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 |
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License Number State |
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