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General NPI Number Information
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NPI Number | 1255021267
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Entity Type | Individual
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Provider Name | ANAKAREN GALARZA
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Gender | Female
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 3665 N BROADWAY ST
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City | CHICAGO
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State | IL
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Zip | 60613-4567
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Country | US
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Telephone | 312-773-4964
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Fax |
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Provider Business Mailing Address
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Address Line | 2229 W 18TH ST
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City | CHICAGO
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State | IL
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Zip | 60608-1807
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Country | US
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Telephone | 773-225-7235
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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