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General NPI Number Information
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NPI Number | 1164837498
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Entity Type | Individual
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Provider Name | CLARE MCCARTHY M.S.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2014
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 1448 N MILWAUKEE AVE SUITE # 201
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City | CHICAGO
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State | IL
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Zip | 60622-9225
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Country | US
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Telephone | 859-619-0232
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Fax |
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Provider Business Mailing Address
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Address Line | 324 WASHINGTON BLVD APT 3F
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City | OAK PARK
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State | IL
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Zip | 60302-4166
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Country | US
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Telephone | 859-619-0232
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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 | 180009111
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License Number State | IL
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