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General NPI Number Information
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NPI Number | 1164221131
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Entity Type | Organization
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Legal Business Name | ACTION-ORIENTED THERAPY PLLC
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 1300 W BELMONT AVE STE 501C
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City | CHICAGO
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State | IL
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Zip | 60657-3242
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Country | US
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Telephone | 312-970-9843
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Fax |
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Provider Business Mailing Address
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Address Line | 5259 N WINTHROP AVE APT 1
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City | CHICAGO
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State | IL
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Zip | 60640-2363
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Country | US
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Telephone | 937-620-8325
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DYLAN AMLIN
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Credential | LCPC
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Telephone | 937-620-8325
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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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