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General NPI Number Information
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NPI Number | 1083899769
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Entity Type | Individual
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Provider Name | NAVEEDA ATHAR LCPC
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Gender | Female
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 07/08/2009
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Provider Practice Location Address
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Address Line | 380 S SCHMALE RD SUITE #140B
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City | CAROL STREAM
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State | IL
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Zip | 60188-2791
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Country | US
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Telephone | 630-842-2729
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Fax | 630-933-9056
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Provider Business Mailing Address
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Address Line | 380 S SCHMALE RD SUITE # 140 B
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City | CAROL STREAM
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State | IL
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Zip | 60188-2791
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Country | US
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Telephone | 630-842-2729
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Fax | 630-933-9056
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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 | 180005355
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License Number State | IL
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