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General NPI Number Information
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NPI Number | 1720266141
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Entity Type | Individual
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Provider Name | MAUREEN GARVEY
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Gender | Female
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 112 E CHESTNUT ST
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City | CHICAGO
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State | IL
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Zip | 60611-2014
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Country | US
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Telephone | 312-787-2729
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Fax | 312-943-4459
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Provider Business Mailing Address
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Address Line | 558 ELM ST
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City | DEERFIELD
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State | IL
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Zip | 60015-4240
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Country | US
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Telephone | 847-317-9390
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Fax | 312-943-4459
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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