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General NPI Number Information
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NPI Number | 1235882879
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Entity Type | Organization
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Legal Business Name | EMBODIED WAY PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 1215 W NORWOOD ST APT 3
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City | CHICAGO
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State | IL
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Zip | 60660-2592
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Country | US
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Telephone | 312-608-2999
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Fax |
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Provider Business Mailing Address
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Address Line | 1215 W NORWOOD ST APT 3
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City | CHICAGO
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State | IL
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Zip | 60660-2592
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MS. CHIH-HSIEN LIN
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Credential | LCPC, BC-DMT
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Telephone | 773-234-9115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225600000X
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Taxonomy Name | Dance Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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