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General NPI Number Information
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NPI Number | 1366100638
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Entity Type | Individual
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Provider Name | MRS. MEGHANN M BARNES
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Gender | Female
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Dates
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Enumeration Date | 12/03/2021
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 816 E 63RD ST
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City | CHICAGO
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State | IL
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Zip | 60637
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Country | US
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Telephone | 312-612-0264
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Fax |
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Provider Business Mailing Address
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Address Line | 3044 POLLY LN
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City | FLOSSMOOR
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State | IL
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Zip | 60422-1721
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Country | US
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Telephone | 708-969-0296
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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 | 178012091
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180017332
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License Number State | IL
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