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General NPI Number Information
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NPI Number | 1518402304
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Entity Type | Individual
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Provider Name | ALEXANDRA CHAPMAN LCPC
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Gender | Female
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Dates
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Enumeration Date | 01/03/2017
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 15 SPINNING WHEEL RD STE 216D
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City | HINSDALE
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State | IL
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Zip | 60521-3077
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Country | US
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Telephone | 708-305-3460
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Fax |
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Provider Business Mailing Address
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Address Line | 4229 GROVE AVE
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City | WESTERN SPRINGS
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State | IL
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Zip | 60558-1347
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Country | US
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Telephone | 708-305-3460
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 178.012582
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.012008
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License Number State | IL
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