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General NPI Number Information
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NPI Number | 1558272351
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Entity Type | Individual
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Provider Name | PRISCA TUYISHIME
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 268 NEWTON AVE
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City | GLEN ELLYN
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State | IL
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Zip | 60137-5303
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Country | US
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Telephone | 630-615-0567
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Fax |
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Provider Business Mailing Address
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Address Line | 2135 W ADAMS ST APT 3
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City | CHICAGO
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State | IL
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Zip | 60612-3180
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Country | US
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Telephone | 630-615-0567
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150.113099
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License Number State | IL
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