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General NPI Number Information
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NPI Number | 1346534310
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Entity Type | Organization
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Legal Business Name | EVERYDAY PSYCHOTHERAPY CHICAGO
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Dates
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Enumeration Date | 06/07/2011
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Last Update Date | 06/07/2011
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Provider Practice Location Address
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Address Line | 2930 N PINE GROVE AVE APT 306
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City | CHICAGO
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State | IL
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Zip | 60657-5702
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Country | US
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Telephone | 773-412-2268
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Fax |
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Provider Business Mailing Address
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Address Line | 2930 N PINE GROVE AVE APT 306
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City | CHICAGO
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State | IL
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Zip | 60657-5702
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Country | US
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Telephone | 773-412-2268
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MADDALENA SCUDIERO
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Credential | L.C.P.C.
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Telephone | 773-412-2268
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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 | 180007414
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License Number State | IL
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