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General NPI Number Information
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NPI Number | 1801056866
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Entity Type | Individual
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Provider Name | ANA LAURA NUNEZ PSY. D.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2008
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 3166 N LINCOLN AVE STE. 314
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City | CHICAGO
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State | IL
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Zip | 60657-3133
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Country | US
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Telephone | 312-909-1007
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Fax | 773-327-4542
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Provider Business Mailing Address
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Address Line | 4724 S JUSTINE ST
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City | CHICAGO
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State | IL
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Zip | 60609-4236
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Country | US
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Telephone | 773-366-9266
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071007482
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License Number State | IL
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