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General NPI Number Information
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NPI Number | 1528555968
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Entity Type | Individual
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Provider Name | BARBARA HENRY
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Gender | Female
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Dates
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Enumeration Date | 04/20/2018
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Last Update Date | 04/20/2018
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Provider Practice Location Address
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Address Line | 3009 E 90TH ST
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City | CHICAGO
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State | IL
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Zip | 60617-3219
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Country | US
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Telephone | 312-898-9030
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Fax |
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Provider Business Mailing Address
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Address Line | 2411 E 107TH ST
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City | CHICAGO
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State | IL
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Zip | 60617-6114
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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 |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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