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General NPI Number Information
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NPI Number | 1710490586
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Entity Type | Organization
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Legal Business Name | MAINSPRING COUNSELING AND COACHING
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Dates
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Enumeration Date | 11/14/2017
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Last Update Date | 11/14/2017
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Provider Practice Location Address
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Address Line | 900 JORIE BLVD STE 36
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City | OAK BROOK
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State | IL
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Zip | 60523-2291
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Country | US
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Telephone | 630-656-2508
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Fax |
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Provider Business Mailing Address
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Address Line | 1365 35TH ST
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1417
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Country | US
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Telephone | 630-963-1041
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MRS. ASMA AFRIDI
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Credential |
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Telephone | 630-656-2508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180.011013
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License Number State | IL
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