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General NPI Number Information
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NPI Number | 1164299533
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Entity Type | Individual
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Provider Name | DAVID FRANCIS SAXON LPC
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Gender | Male
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Dates
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Enumeration Date | 12/06/2023
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 5153 N CLARK ST STE 306
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City | CHICAGO
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State | IL
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Zip | 60640-6850
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Country | US
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Telephone | 312-690-3140
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Fax |
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Provider Business Mailing Address
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Address Line | 1453 W ROSEMONT AVE APT 2W
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City | CHICAGO
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State | IL
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Zip | 60660-0156
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Country | US
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Telephone | 412-304-7781
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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 | 178.019663
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License Number State | IL
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