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General NPI Number Information
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NPI Number | 1336718998
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Entity Type | Individual
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Provider Name | HANQI HUANG MA
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Gender | Male
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Dates
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Enumeration Date | 06/18/2021
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Last Update Date | 06/18/2021
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Provider Practice Location Address
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Address Line | 1335 N MILL ST STE 100
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City | NAPERVILLE
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State | IL
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Zip | 60563-2047
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Country | US
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Telephone | 630-305-5118
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Fax |
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Provider Business Mailing Address
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Address Line | 515 W FRONT ST APT 3
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City | WHEATON
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State | IL
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Zip | 60187-4953
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Country | US
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Telephone | 312-731-4925
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178016544
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License Number State | IL
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