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General NPI Number Information
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NPI Number | 1508170622
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Entity Type | Individual
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Provider Name | ANNA KATARZYNA ZABIEGLY PSYD
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Gender | Female
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Dates
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Enumeration Date | 07/30/2010
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 3080 OGDEN AVE STE 104C
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City | LISLE
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State | IL
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Zip | 60532-1693
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Country | US
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Telephone | 630-272-4717
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Fax |
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Provider Business Mailing Address
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Address Line | 3080 OGDEN AVE STE 104C
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City | LISLE
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State | IL
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Zip | 60532-1693
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Country | US
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Telephone | 630-272-4717
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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 | 178.005409
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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 | 071008301
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License Number State | IL
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