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General NPI Number Information
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NPI Number | 1376857342
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Entity Type | Individual
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Provider Name | TAJWAR RAZIUDDIN LCPC
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Gender | Female
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Dates
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Enumeration Date | 08/02/2010
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Last Update Date | 06/03/2020
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Provider Practice Location Address
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Address Line | 1443 W SCHAUMBURG RD STE 110
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City | SCHAUMBURG
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State | IL
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Zip | 60194-4000
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Country | US
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Telephone | 847-524-2110
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 W HIGGINS RD STE 1135
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-7239
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Country | US
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Telephone | 630-635-2189
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Fax | 847-524-2224
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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 | 180005705
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License Number State | IL
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