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General NPI Number Information
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NPI Number | 1154593473
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Entity Type | Individual
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Provider Name | SALVADOR G. MOROTE SANCHEZ PSY.D., M.A., LCPC
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Gender | Male
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 03/24/2010
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Provider Practice Location Address
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Address Line | 10001 GRAND AVE
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City | FRANKLIN PARK
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State | IL
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Zip | 60131-2563
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Country | US
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Telephone | 847-451-0330
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Fax |
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Provider Business Mailing Address
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Address Line | 5030 W DAKIN ST
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City | CHICAGO
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State | IL
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Zip | 60641-2608
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Country | US
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Telephone | 773-725-8432
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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 | 180.006242
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License Number State | IL
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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 | 180.006242
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 180.006242
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 180.006242
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License Number State | IL
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