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General NPI Number Information
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NPI Number | 1205154879
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Entity Type | Organization
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Legal Business Name | BARBARA H. SMITH PSYCHOTHERAPY SERVICES,LLC
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Dates
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Enumeration Date | 05/06/2010
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Last Update Date | 05/06/2010
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Provider Practice Location Address
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Address Line | 1525 E 53RD ST SUITE 913
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City | CHICAGO
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State | IL
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Zip | 60615-4557
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Country | US
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Telephone | 773-493-3558
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Fax | 773-493-3558
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Provider Business Mailing Address
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Address Line | 1525 E 53RD ST SUITE 913
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City | CHICAGO
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State | IL
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Zip | 60615-4557
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Country | US
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Telephone | 773-493-3558
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Fax | 773-493-3558
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. BARBARA HUDSON SMITH
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Credential | LCSW
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Telephone | 773-493-3558
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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 | 149001082
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License Number State | IL
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