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General NPI Number Information
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NPI Number | 1285376210
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Entity Type | Organization
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Legal Business Name | NUVE THERAPY, PLLC
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 2343 W WINONA ST APT 2E
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City | CHICAGO
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State | IL
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Zip | 60625-1853
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Country | US
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Telephone | 630-999-3076
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 CHATHAM RD STE 5111
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City | SPRINGFIELD
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State | IL
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Zip | 62704-4188
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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 | THERAPIST
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Name | SAMANTHA NUNEZ
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Credential | LCSW
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Telephone | 630-999-3076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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