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General NPI Number Information
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NPI Number | 1285344671
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Entity Type | Individual
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Provider Name | JULIANN SARACENO
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Gender | Female
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 1400 E TOUHY AVE
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City | DES PLAINES
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State | IL
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Zip | 60018-3305
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Country | US
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Telephone | 866-934-9852
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Fax |
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Provider Business Mailing Address
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Address Line | 1634 N BOSWORTH AVE APT 2
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City | CHICAGO
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State | IL
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Zip | 60642-2471
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Country | US
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Telephone | 773-931-4992
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 112466
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071010867
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License Number State | IL
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