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General NPI Number Information
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NPI Number | 1548661465
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Entity Type | Organization
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Legal Business Name | BEST SELF INC.
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 09/10/2014
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Provider Practice Location Address
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Address Line | 2835 N SHEFFIELD AVE SUITE 222
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City | CHICAGO
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State | IL
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Zip | 60657-5081
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Country | US
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Telephone | 773-413-6020
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Fax |
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Provider Business Mailing Address
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Address Line | 1749 N WELLS ST APT 227
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City | CHICAGO
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State | IL
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Zip | 60614-5877
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Country | US
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Telephone | 773-771-3128
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Fax | 773-529-6186
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Authorized Official
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Title or Position | FOUNDER & PSYCHOTHERAPIST
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Name | MARNIE EHRENBERG
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Credential | LCPC
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Telephone | 773-771-3128
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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 | 180008534
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License Number State | IL
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