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General NPI Number Information
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NPI Number | 1295462034
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Entity Type | Organization
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Legal Business Name | NICK TURNER LCSW LLC
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Dates
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Enumeration Date | 08/02/2022
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 180 N MICHIGAN AVE STE 2222
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City | CHICAGO
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State | IL
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Zip | 60601-7414
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Country | US
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Telephone | 872-256-0759
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Fax |
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Provider Business Mailing Address
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Address Line | 1526 W FARGO AVE APT 3D
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City | CHICAGO
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State | IL
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Zip | 60626-6333
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Country | US
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Telephone | 331-625-9659
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | NICHOLAS TURNER
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Credential |
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Telephone | 872-256-0759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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