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General NPI Number Information
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NPI Number | 1568890242
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Entity Type | Individual
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Provider Name | CHRISTINA NYREE HARMON M.S.W., L.S.W.
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Gender | Female
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Dates
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Enumeration Date | 10/16/2013
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Last Update Date | 02/12/2020
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Provider Practice Location Address
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Address Line | 1001 ROHLWING RD
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3217
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Country | US
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Telephone | 847-524-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 3411 N KENNICOTT AVE STE C
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-7813
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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 | 149.017814
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150010544
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License Number State | IL
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