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General NPI Number Information
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NPI Number | 1144011461
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Entity Type | Individual
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Provider Name | DONA LOE
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Gender | Female
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 2305 N SPAULDING AVE APT 2
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City | CHICAGO
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State | IL
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Zip | 60647-7068
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Country | US
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Telephone | 651-343-5834
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Fax |
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Provider Business Mailing Address
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Address Line | 11420 DALE RD
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City | WOODBURY
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State | MN
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Zip | 55129-9751
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Country | US
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Telephone | 651-343-5834
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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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