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General NPI Number Information
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NPI Number | 1760236152
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Entity Type | Individual
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Provider Name | ANGELA LECHOWICZ PMHNP
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Gender | Female
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Dates
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Enumeration Date | 04/12/2024
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 213 N MORGAN ST UNIT 1D
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City | CHICAGO
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State | IL
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Zip | 60607-1721
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Country | US
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Telephone | 312-333-6124
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Fax |
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Provider Business Mailing Address
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Address Line | 10 E ONTARIO ST APT 3708
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City | CHICAGO
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State | IL
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Zip | 60611-2759
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Country | US
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Telephone | 224-616-7972
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209029402
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License Number State | IL
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