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General NPI Number Information
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NPI Number | 1205067170
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Entity Type | Individual
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Provider Name | AMY PADRON LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 330 E MAIN ST STE 213
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City | BARRINGTON
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State | IL
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Zip | 60010-3203
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Country | US
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Telephone | 224-662-1626
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Fax |
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Provider Business Mailing Address
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Address Line | 330 E MAIN ST STE 213
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City | BARRINGTON
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State | IL
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Zip | 60010-3203
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Country | US
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Telephone | 224-662-1626
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 166.000755
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License Number State | IL
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