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General NPI Number Information
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NPI Number | 1639848849
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Entity Type | Organization
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Legal Business Name | TARA EGAN-HARRIS LCSW INC.
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Dates
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Enumeration Date | 09/10/2021
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Last Update Date | 09/10/2021
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Provider Practice Location Address
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Address Line | 429 W GRANT PL APT C
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City | CHICAGO
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State | IL
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Zip | 60614-7524
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Country | US
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Telephone | 773-318-3270
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Fax |
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Provider Business Mailing Address
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Address Line | 429 W GRANT PL APT C
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City | CHICAGO
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State | IL
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Zip | 60614-7524
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Country | US
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Telephone | 773-318-3270
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. TARA HELEN EGAN-HARRIS
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Credential | LCSW
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Telephone | 773-318-3270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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