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General NPI Number Information
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NPI Number | 1588038517
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Entity Type | Individual
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Provider Name | ANGELA ADAMS ALI PHD, LCPC, MFT, BCC
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Gender | Female
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Dates
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Enumeration Date | 11/13/2015
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 1505 E 53RD ST # 2E
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City | CHICAGO
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State | IL
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Zip | 60615-4509
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Country | US
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Telephone | 312-371-0562
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Fax | 773-285-1726
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Provider Business Mailing Address
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Address Line | 4072 S LAKE PARK AVE
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City | CHICAGO
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State | IL
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Zip | 60653-2525
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Country | US
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Telephone | 312-371-0562
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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 | 180.009921
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License Number State | IL
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