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General NPI Number Information
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NPI Number | 1073701868
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Entity Type | Individual
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Provider Name | NANCY M TONCY LCPC, ADTR
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Gender | Female
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 10/30/2007
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Provider Practice Location Address
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Address Line | 1619 W MONTROSE AVE CHICAGO HOLISTIC MEDICINE
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City | CHICAGO
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State | IL
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Zip | 60613-1213
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Country | US
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Telephone | 773-957-6879
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Fax | 773-583-9410
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Provider Business Mailing Address
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Address Line | 4336 N HERMITAGE AVE #3E
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City | CHICAGO
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State | IL
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Zip | 60613-1123
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Country | US
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Telephone | 773-957-6879
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Fax | 773-583-9410
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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 |
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License Number State | IL
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