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General NPI Number Information
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NPI Number | 1326662313
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Entity Type | Individual
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Provider Name | HANNAH SOPHIA KOHN SHAKERI LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 1803 N CALIFORNIA AVE
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City | CHICAGO
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State | IL
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Zip | 60647-5105
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Country | US
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Telephone | 773-819-6415
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 S ALLPORT ST APT 3
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City | CHICAGO
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State | IL
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Zip | 60608-3210
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Country | US
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Telephone | 703-963-0517
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149024173
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801105385
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 2444069
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License Number State | IL
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