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General NPI Number Information
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NPI Number | 1174439293
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Entity Type | Organization
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Legal Business Name | BE FREE PSYCHIATRY PC
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 119 S WESTERN AVE UNIT 1
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City | CHICAGO
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State | IL
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Zip | 60612-4644
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Country | US
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Telephone | 312-625-0110
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Fax | 312-680-7589
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Provider Business Mailing Address
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Address Line | 119 S WESTERN AVE UNIT 1
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City | CHICAGO
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State | IL
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Zip | 60612-4644
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Country | US
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Telephone | 312-625-0110
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Fax | 312-680-7589
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | DANI H NGUYEN
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Credential | PA-C
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Telephone | 312-625-0110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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