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General NPI Number Information
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NPI Number | 1326287541
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Entity Type | Individual
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Provider Name | ROSEMARIE GIANFORTE
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Gender | Female
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 5756 N RIDGE AVE UNIT 2
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City | CHICAGO
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State | IL
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Zip | 60660-5302
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Country | US
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Telephone | 773-517-1661
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Fax | 312-814-7134
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Provider Business Mailing Address
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Address Line | 6101 N SHERIDAN RD UNIT 38C
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City | CHICAGO
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State | IL
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Zip | 60660-2870
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Country | US
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Telephone | 773-517-1661
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Fax | 312-814-7134
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149009423
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License Number State | IL
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