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General NPI Number Information
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NPI Number | 1538831144
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Entity Type | Individual
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Provider Name | KIRSTIN SCHAFER PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/01/2021
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 333 N MICHIGAN AVE
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City | CHICAGO
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State | IL
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Zip | 60601-3901
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Country | US
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Telephone | 224-202-6260
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Fax |
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Provider Business Mailing Address
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Address Line | 2827 W BELDEN AVE APT 4D
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City | CHICAGO
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State | IL
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Zip | 60647-7056
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Country | US
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Telephone | 570-926-3092
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071.010889
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License Number State | IL
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