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General NPI Number Information
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NPI Number | 1720943871
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Entity Type | Organization
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Legal Business Name | PROANO BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 325 HARPER DR
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City | ALGONQUIN
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State | IL
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Zip | 60102-2086
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Country | US
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Telephone | 847-254-3884
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Fax | 949-689-0830
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Provider Business Mailing Address
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Address Line | 325 HARPER DR
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City | ALGONQUIN
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State | IL
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Zip | 60102-2086
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Country | US
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Telephone | 847-254-3884
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Fax | 949-689-0830
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Authorized Official
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Title or Position | OWNER
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Name | DIANE PROANO
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Credential | PMHNP-BC
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Telephone | 847-254-3884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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