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General NPI Number Information
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NPI Number | 1619365947
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Entity Type | Organization
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Legal Business Name | ALLOW WELLNESS
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Dates
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Enumeration Date | 01/09/2015
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 233 E. WACKER DRIVE #3901
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City | CHICAGO
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State | IL
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Zip | 60601-5100
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Country | US
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Telephone | 847-903-1354
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Fax | 773-242-6303
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Provider Business Mailing Address
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Address Line | 233 E. WACKER DRIVE #3901
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City | CHICAGO
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State | IL
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Zip | 60601-5100
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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 | OWNER
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Name | SARAH SANDERS
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Credential |
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Telephone | 847-903-1354
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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 | 071008119
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License Number State | IL
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