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General NPI Number Information
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NPI Number | 1538412671
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Entity Type | Individual
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Provider Name | SARA HARRIS LCPC
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Gender | Female
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Dates
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Enumeration Date | 10/25/2012
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 71 E DIVISION ST 506
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City | CHICAGO
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State | IL
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Zip | 60610-8307
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Country | US
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Telephone | 312-401-1952
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Fax |
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Provider Business Mailing Address
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Address Line | 71 E DIVISION ST 506
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City | CHICAGO
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State | IL
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Zip | 60610-8307
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Country | US
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Telephone | 312-401-1952
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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 | 180002862
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License Number State | IL
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