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General NPI Number Information
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NPI Number | 1689070112
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Entity Type | Individual
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Provider Name | MEGAN EILEEN HAWKSWORTH LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/11/2014
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Last Update Date | 07/21/2016
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Provider Practice Location Address
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Address Line | 25 E WASHINGTON ST STE 1051
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City | CHICAGO
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State | IL
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Zip | 60602-1710
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Country | US
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Telephone | 312-620-9846
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 N LAKE SHORE DR APT 1902
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City | CHICAGO
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State | IL
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Zip | 60657-4909
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Country | US
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Telephone | 312-620-9846
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 166001071
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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 | 208000336
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License Number State | IL
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