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General NPI Number Information
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NPI Number | 1730772765
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Entity Type | Individual
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Provider Name | SAIMA SHAIK LPC
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Gender | Female
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Dates
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Enumeration Date | 02/20/2021
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Last Update Date | 02/20/2021
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Provider Practice Location Address
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Address Line | 9007 W CERMAK RD
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City | NORTH RIVERSIDE
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State | IL
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Zip | 60546-1017
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Country | US
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Telephone | 630-901-2911
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Fax |
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Provider Business Mailing Address
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Address Line | 252 WOOD GLEN LN
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City | OAK BROOK
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State | IL
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Zip | 60523-1535
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Country | US
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Telephone |
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178016127
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 178016127
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License Number State | IL
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