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General NPI Number Information
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NPI Number | 1770499139
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Entity Type | Individual
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Provider Name | DENISE MAHASI
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Gender | Female
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 1979 N MILL ST STE 105
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City | NAPERVILLE
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State | IL
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Zip | 60563-1295
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Country | US
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Telephone | 630-281-2496
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Fax |
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Provider Business Mailing Address
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Address Line | 4217 N PATRICIA CT
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City | PEORIA
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State | IL
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Zip | 61614-6716
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Country | US
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Telephone | 309-857-2097
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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