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General NPI Number Information
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NPI Number | 1356755540
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Entity Type | Individual
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Provider Name | JAMILAH AKBAR
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Gender | Female
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 10/12/2025
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Provider Practice Location Address
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Address Line | 7339 WOODWARD AVE 306
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City | WOODRIDGE
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State | IL
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Zip | 60517-2576
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Country | US
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Telephone | 312-330-1936
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Fax |
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Provider Business Mailing Address
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Address Line | 3 CORDAGE CIR
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City | PORT WENTWORTH
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State | GA
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Zip | 31407-9695
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Country | US
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Telephone | 312-330-1936
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Fax | 912-737-3098
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180.009191
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | LPC013953
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License Number State | GA
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