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General NPI Number Information
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NPI Number | 1346261815
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Entity Type | Individual
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Provider Name | AILEEN FELICE ROSENBERG MSW/LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 01/21/2011
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Provider Practice Location Address
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Address Line | 4755 N KENMORE AVE
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City | CHICAGO
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State | IL
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Zip | 60640-5015
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Country | US
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Telephone | 773-262-6892
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Fax | 773-279-2789
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Provider Business Mailing Address
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Address Line | 701 W BITTERSWEET PL 3RD FLOOR
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City | CHICAGO
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State | IL
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Zip | 60613-2309
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Country | US
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Telephone | 773-484-6672
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Fax | 773-279-2789
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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 | 149010163
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License Number State | IL
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