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General NPI Number Information
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NPI Number | 1164934170
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Entity Type | Individual
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Provider Name | CAITLIN GRACE PINSOF LCPC
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Gender | Female
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Dates
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Enumeration Date | 10/31/2017
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 401 N MICHIGAN AVE STE 1200
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City | CHICAGO
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State | IL
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Zip | 60611-4264
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Country | US
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Telephone | 312-961-4441
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Fax | 312-584-4228
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Provider Business Mailing Address
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Address Line | 1239 1/2 W GREENLEAF AVE APT 2N
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City | CHICAGO
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State | IL
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Zip | 60626-2986
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Country | US
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Telephone | 312-961-4441
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Fax | 312-961-4441
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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 | 178013394
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License Number State | IL
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