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General NPI Number Information
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NPI Number | 1639780208
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Entity Type | Individual
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Provider Name | YAEL TOBIN LPC
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Gender | Female
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Dates
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Enumeration Date | 08/16/2020
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Last Update Date | 08/16/2020
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Provider Practice Location Address
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Address Line | 3000 DUNDEE RD STE 205
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City | NORTHBROOK
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State | IL
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Zip | 60062-2432
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Country | US
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Telephone | 847-525-7074
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Fax |
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Provider Business Mailing Address
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Address Line | 6515 N MOZART ST APT B
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City | CHICAGO
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State | IL
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Zip | 60645-4303
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Country | US
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Telephone | 314-306-4798
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 178.016113
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License Number State | IL
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