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General NPI Number Information
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NPI Number | 1750079653
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Entity Type | Individual
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Provider Name | SAMANTHA NICOLE LHOTAK
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Gender | Female
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Dates
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Enumeration Date | 04/27/2023
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 650 E ALGONQUIN RD STE 108
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City | SCHAUMBURG
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State | IL
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Zip | 60173-3853
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Country | US
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Telephone | 847-221-5622
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 N STERLING AVE APT 206
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City | PALATINE
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State | IL
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Zip | 60067-1984
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Country | US
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Telephone | 709-866-6348
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150117399
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License Number State | IL
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