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General NPI Number Information
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NPI Number | 1427331644
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Entity Type | Individual
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Provider Name | DENADA HOXHA PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/23/2011
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Last Update Date | 09/23/2011
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Provider Practice Location Address
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Address Line | 938 W NELSON ST
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City | CHICAGO
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State | IL
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Zip | 60657-6704
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Country | US
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Telephone | 773-296-3265
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Fax |
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Provider Business Mailing Address
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Address Line | 6906 N ASHLAND BLVD APT 1S
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City | CHICAGO
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State | IL
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Zip | 60626-3318
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Country | US
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Telephone | 847-693-6354
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20042524A
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License Number State | IN
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