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General NPI Number Information
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NPI Number | 1396940219
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Entity Type | Individual
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Provider Name | FRANCES TUNG PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 11/19/2015
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Provider Practice Location Address
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Address Line | 1200 W 35TH ST SUITE 5B5220 (MAILBOX 252)
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City | CHICAGO
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State | IL
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Zip | 60609-1305
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Country | US
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Telephone | 872-401-6041
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 W 35TH ST SUITE 5B5220 (MAILBOX 252)
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City | CHICAGO
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State | IL
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Zip | 60609-1305
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Country | US
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Telephone | 872-401-6041
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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 | 178004978
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071007568
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License Number State | IL
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