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General NPI Number Information
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NPI Number | 1427824614
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Entity Type | Individual
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Provider Name | MRS. ALICIA FERRER
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Gender | Female
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 4950 W THOMAS ST
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City | CHICAGO
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State | IL
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Zip | 60651-3118
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Country | US
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Telephone | 131-238-3326
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Fax |
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Provider Business Mailing Address
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Address Line | 1730 N TRIPP AVE
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City | CHICAGO
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State | IL
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Zip | 60639-4862
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Country | US
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Telephone | 312-383-3266
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150.109049
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License Number State |
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