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General NPI Number Information
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NPI Number | 1073844833
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Entity Type | Individual
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Provider Name | MIRIAM TORRADO MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/19/2010
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 3225 N SHEFFIELD AVE
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City | CHICAGO
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State | IL
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Zip | 60657-2210
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Country | US
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Telephone | 773-549-1102
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Fax |
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Provider Business Mailing Address
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Address Line | 2132 RUGEN RD UNIT A
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City | GLENVIEW
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State | IL
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Zip | 60026-5502
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Country | US
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Telephone | 312-437-0119
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149010768
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License Number State | IL
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