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General NPI Number Information
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NPI Number | 1457786006
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Entity Type | Individual
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Provider Name | TAYEBA S. ALHOCH PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/13/2013
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Last Update Date | 07/25/2021
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Provider Practice Location Address
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Address Line | 111 N WABASH AVE STE 1003
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City | CHICAGO
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State | IL
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Zip | 60602-1903
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Country | US
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Telephone | 312-999-7114
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Fax |
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Provider Business Mailing Address
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Address Line | 111 N WABASH AVE STE 1003
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City | CHICAGO
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State | IL
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Zip | 60602-1903
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Country | US
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Telephone | 312-999-7114
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 35SI00595400
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License Number State | NJ
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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 | 6301015511
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 022111
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071010165
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License Number State | IL
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