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General NPI Number Information
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NPI Number | 1063659969
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Entity Type | Individual
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Provider Name | CATALINA SOTO MA, LCSW, ACSW,JD
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Gender | Female
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Dates
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Enumeration Date | 01/14/2009
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 1220 N HOYNE AVE
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City | CHICAGO
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State | IL
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Zip | 60622-3190
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Country | US
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Telephone | 773-278-9744
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Fax |
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Provider Business Mailing Address
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Address Line | 2160 N COLDSPRING RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-7232
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Country | US
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Telephone | 773-991-5022
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Fax | 773-278-9744
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.002142
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License Number State | IL
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