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General NPI Number Information
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NPI Number | 1790413383
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Entity Type | Organization
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Legal Business Name | GENEVIEVE NEHRT LLC
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Dates
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Enumeration Date | 08/11/2022
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 1811 SAINT JOHNS AVE STE 204
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-5607
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Country | US
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Telephone | 224-622-0619
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Fax |
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Provider Business Mailing Address
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Address Line | 135 E HILLSIDE RD
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City | BARRINGTON
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State | IL
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Zip | 60010-4605
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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 | OWNER
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Name | DR. GENEVIEVE NEHRT
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Credential | PSY.D.
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Telephone | 224-622-0619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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