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General NPI Number Information
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NPI Number | 1376784694
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Entity Type | Individual
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Provider Name | DEBORAH HAUGH L.C.P.C.
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Gender | Female
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Dates
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Enumeration Date | 03/17/2009
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Last Update Date | 03/04/2011
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Provider Practice Location Address
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Address Line | 4305 N LINCOLN AVE SUITE P
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City | CHICAGO
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State | IL
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Zip | 60618-1711
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Country | US
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Telephone | 773-547-8959
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Fax |
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Provider Business Mailing Address
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Address Line | 2214 N. MONTICELLO
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City | CHICAGO
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State | IL
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Zip | 60647
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Country | US
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Telephone | 773-547-8959
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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 | 180-001936
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License Number State | IL
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