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General NPI Number Information
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NPI Number | 1124527593
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Entity Type | Individual
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Provider Name | ADAM-JON APARICIO
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Gender | Male
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Dates
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Enumeration Date | 02/12/2018
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 5603 N WAYNE AVE APT 3
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City | CHICAGO
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State | IL
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Zip | 60660
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Country | US
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Telephone | 970-239-1983
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Fax |
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Provider Business Mailing Address
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Address Line | 1055 W BRYN MAWR AVE STE F #274
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City | CHICAGO
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State | IL
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Zip | 60660
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Country | US
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Telephone | 970-239-1983
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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