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General NPI Number Information
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NPI Number | 1326529421
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Entity Type | Individual
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Provider Name | ALLISON ANN CHAVEZ LMFT, CADC
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Gender | Female
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 6912 YOUNG CT
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City | WOODRIDGE
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State | IL
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Zip | 60517
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Country | US
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Telephone | 630-440-3696
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Fax |
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Provider Business Mailing Address
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Address Line | 6912 YOUNG CT
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City | WOODRIDGE
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State | IL
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Zip | 60517
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Country | US
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Telephone | 630-440-3696
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 25880
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 166000958
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License Number State | IL
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