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General NPI Number Information
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NPI Number | 1598627135
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Entity Type | Organization
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Legal Business Name | UNCONDITIONALLY WORTHY, CO.
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 3407 S ABERDEEN ST
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City | CHICAGO
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State | IL
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Zip | 60608-6510
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Country | US
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Telephone | 262-729-9579
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 166256
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City | CHICAGO
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State | IL
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Zip | 60616-6171
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Country | US
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Telephone | 626-644-7116
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ADIA GOODEN
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Credential | PHD
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Telephone | 626-644-7116
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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 |
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License Number State |
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