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General NPI Number Information
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NPI Number | 1518448406
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Entity Type | Organization
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Legal Business Name | NATALIE SABO THERAPY, LLC
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Dates
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Enumeration Date | 08/28/2018
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Last Update Date | 08/28/2018
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Provider Practice Location Address
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Address Line | 2451 N LINCOLN AVE STE 209
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City | CHICAGO
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State | IL
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Zip | 60614-2422
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Country | US
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Telephone | 847-886-9960
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Fax |
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Provider Business Mailing Address
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Address Line | 1645 W SCHOOL ST APT 307
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City | CHICAGO
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State | IL
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Zip | 60657-2154
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATALIE SABO
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Credential |
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Telephone | 574-780-3945
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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 | 180.010292
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License Number State | IL
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