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General NPI Number Information
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NPI Number | 1235752742
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Entity Type | Individual
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Provider Name | DEBORAH FEINGOLD-FISHER LCSW, RN, APRN
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Gender | Female
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 1000 CENTRAL ST
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City | EVANSTON
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State | IL
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Zip | 60201-1777
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Country | US
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Telephone | 847-570-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 4001 GRANT ST
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City | SKOKIE
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State | IL
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Zip | 60076-1109
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Country | US
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Telephone | 847-987-7110
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209026291
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14900579
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 209026291
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License Number State | IL
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