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General NPI Number Information
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NPI Number | 1194235499
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Entity Type | Individual
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Provider Name | GABRIELA RASCATI LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 3139 N LINCOLN AVE STE 210
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City | CHICAGO
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State | IL
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Zip | 60657-3122
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Country | US
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Telephone | 224-999-0677
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Fax | 773-303-8423
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Provider Business Mailing Address
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Address Line | 1934 W ROSCOE ST APT 2
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City | CHICAGO
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State | IL
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Zip | 60657-1056
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Country | US
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Telephone | 571-276-8844
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Fax | 773-303-8423
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.016138
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License Number State | IL
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