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General NPI Number Information
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NPI Number | 1710299292
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Entity Type | Organization
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Legal Business Name | LORI L HALL PC & ASSOC
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Dates
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Enumeration Date | 07/13/2010
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Last Update Date | 07/13/2010
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Provider Practice Location Address
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Address Line | 180 N MICHIGAN AVE SUITE 410
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City | CHICAGO
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State | IL
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Zip | 60601-7401
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Country | US
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Telephone | 312-399-1033
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Fax | 312-782-8278
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Provider Business Mailing Address
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Address Line | 180 N MICHIGAN AVE SUITE 410
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City | CHICAGO
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State | IL
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Zip | 60601-7401
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Country | US
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Telephone | 312-399-1033
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Fax | 312-782-8278
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Authorized Official
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Title or Position | CO-OWNER/PSYCOTHERAPIST
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Name | LORI L HALL
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Credential | MA LCSW
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Telephone | 312-399-1033
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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 | 149.009753
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License Number State | IL
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