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General NPI Number Information
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NPI Number | 1366909707
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Entity Type | Individual
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Provider Name | EMILY K DRAKE
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Gender | Female
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Dates
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Enumeration Date | 02/21/2019
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Last Update Date | 02/21/2019
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Provider Practice Location Address
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Address Line | 625 N NORTH CT STE 350
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City | PALATINE
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State | IL
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Zip | 60067-8160
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Country | US
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Telephone | 224-801-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 1136 S DELANO CT W # W408
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City | CHICAGO
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State | IL
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Zip | 60605-3740
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Country | US
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Telephone | 312-342-9945
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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 | 178.009090
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License Number State | IL
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