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General NPI Number Information
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NPI Number | 1588753503
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Entity Type | Individual
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Provider Name | SHOSHANA HELLMAN ED.D.
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 155 N MICHIGAN AVE STE 633
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City | CHICAGO
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State | IL
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Zip | 60601-7795
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Country | US
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Telephone | 414-324-8879
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Fax |
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Provider Business Mailing Address
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Address Line | S64W19011 SCHOOL DR
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City | MUSKEGO
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State | WI
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Zip | 53150-8516
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Country | US
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Telephone | 262-244-1156
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Fax | 262-432-5736
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3129-125
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License Number State | WI
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