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General NPI Number Information
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NPI Number | 1720604648
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Entity Type | Individual
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Provider Name | NATASHA SABRINA LENTNER ALMFT
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Gender | Female
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 8745 W HIGGINS RD STE 110
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City | CHICAGO
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State | IL
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Zip | 60631-2753
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Country | US
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Telephone | 708-274-7991
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Fax |
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Provider Business Mailing Address
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Address Line | 3650 183RD ST
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City | HOMEWOOD
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State | IL
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Zip | 60430-2633
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Country | US
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Telephone | 708-957-4597
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Fax | 708-957-4821
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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 | 208.000647
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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 | 166.001389
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License Number State | IL
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