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General NPI Number Information
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NPI Number | 1629401070
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Entity Type | Individual
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Provider Name | OLUWATOYIN OLABISI HINES MA, MS, MED, PHD
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Gender | Female
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Dates
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Enumeration Date | 08/20/2013
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 9142 S MARSHFIELD AVE
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City | CHICAGO
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State | IL
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Zip | 60620-5547
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Country | US
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Telephone | 708-634-8883
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Fax |
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Provider Business Mailing Address
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Address Line | PEACE OF MIND COUNSELING, COACHING & CONSULTING LLC PO BOX 437112
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City | CHICAGO
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State | IL
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Zip | 60643-7112
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Country | US
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Telephone | 708-634-8883
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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 | 180.011664
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License Number State | IL
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