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General NPI Number Information
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NPI Number | 1124820931
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH COOPER LPC
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Gender | Female
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 25 E WASHINGTON ST STE 1835
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City | CHICAGO
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State | IL
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Zip | 60602-1836
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Country | US
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Telephone | 312-940-3655
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Fax |
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Provider Business Mailing Address
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Address Line | 5317 W PENSACOLA AVE
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City | CHICAGO
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State | IL
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Zip | 60641-1309
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Country | US
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Telephone | 907-301-7206
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 178.021468
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License Number State | IL
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