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General NPI Number Information
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NPI Number | 1275155384
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Entity Type | Individual
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Provider Name | NIVA SAVANI LPC
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Gender | Female
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Dates
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Enumeration Date | 05/12/2020
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 10801 S WESTERN AVE UNIT 2B
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City | CHICAGO
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State | IL
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Zip | 60643-3225
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Country | US
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Telephone | 708-942-7279
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 S PRAIRIE AVE UNIT 1111
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City | CHICAGO
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State | IL
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Zip | 60605-3026
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Country | US
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Telephone | 630-485-0111
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178.015389
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License Number State | IL
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