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General NPI Number Information
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NPI Number | 1275417099
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Entity Type | Individual
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Provider Name | AVA SCHNEIDER LSW
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Gender | Female
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1147 W OHIO ST STE 103
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City | CHICAGO
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State | IL
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Zip | 60642-5874
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Country | US
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Telephone | 312-772-9796
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Fax |
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Provider Business Mailing Address
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Address Line | 25 E DELAWARE PL APT 1505
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City | CHICAGO
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State | IL
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Zip | 60611-1953
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Country | US
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Telephone | 414-897-6969
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150.116971
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License Number State | IL
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