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General NPI Number Information
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NPI Number | 1780172536
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Entity Type | Individual
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Provider Name | SARAH PEPPER
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Gender | Female
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Dates
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Enumeration Date | 04/27/2018
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Last Update Date | 04/27/2018
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Provider Practice Location Address
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Address Line | 310 W CHICAGO AVE
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City | CHICAGO
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State | IL
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Zip | 60654-5106
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Country | US
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Telephone | 312-943-6545
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Fax |
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Provider Business Mailing Address
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Address Line | 1036 N DEARBORN ST
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City | CHICAGO
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State | IL
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Zip | 60610-3127
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Country | US
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Telephone | 847-287-1790
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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