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General NPI Number Information
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NPI Number | 1669806873
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Entity Type | Organization
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Legal Business Name | ASCEND, CONSULTATION IN HEALTH CARE
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Dates
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Enumeration Date | 08/23/2013
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Last Update Date | 08/23/2013
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Provider Practice Location Address
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Address Line | 737 N MICHIGAN AVE SUITE 1625
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City | CHICAGO
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State | IL
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Zip | 60611-2615
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Country | US
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Telephone | 312-283-2650
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Fax | 312-888-9937
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Provider Business Mailing Address
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Address Line | 737 N MICHIGAN AVE SUITE 1625
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City | CHICAGO
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State | IL
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Zip | 60611-2615
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Country | US
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Telephone | 312-283-2650
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Fax | 312-888-9937
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Authorized Official
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Title or Position | COORDINATOR
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Name | SARAH HALVORSON
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Credential |
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Telephone | 312-283-2650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1265773659
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 071.004492
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164.005161
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071.004492
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License Number State | IL
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