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General NPI Number Information
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NPI Number | 1114729639
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Entity Type | Organization
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Legal Business Name | DARING INDEED
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 119 S WESTERN AVE UNIT 1165
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City | CHICAGO
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State | IL
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Zip | 60612-4643
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Country | US
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Telephone | 872-278-6640
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Fax |
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Provider Business Mailing Address
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Address Line | 1716 W FOSTER AVE
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City | CHICAGO
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State | IL
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Zip | 60640-2016
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Country | US
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Telephone | 872-278-6640
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSOCIATE
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Name | DANI NGUYEN
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Credential | PA-C
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Telephone | 312-625-0110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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