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General NPI Number Information
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NPI Number | 1184041840
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Entity Type | Individual
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Provider Name | DANA HALL MA, LCPC
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Gender | Female
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Dates
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Enumeration Date | 03/19/2014
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Last Update Date | 01/17/2020
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Provider Practice Location Address
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Address Line | 11309 DISTINCTIVE DR # 11309
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City | ORLAND PARK
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State | IL
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Zip | 60467-9490
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Country | US
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Telephone | 708-691-9577
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Fax |
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Provider Business Mailing Address
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Address Line | 11309 DISTINCTIVE DR
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City | ORLAND PARK
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State | IL
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Zip | 60467-9490
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Country | US
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Telephone | 708-691-9577
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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 | 180007329
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License Number State | IL
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