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General NPI Number Information
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NPI Number | 1801273677
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Entity Type | Organization
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Legal Business Name | DINA ZWIEBEL LLC
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Dates
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Enumeration Date | 04/30/2015
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 134 N LASALLE ST STE 1850
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City | CHICAGO
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State | IL
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Zip | 60602-1100
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Country | US
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Telephone | 773-669-4778
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Fax |
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Provider Business Mailing Address
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Address Line | 1262 W BRYN MAWR AVE APT 5
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City | CHICAGO
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State | IL
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Zip | 60660-4459
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Country | US
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Telephone | 301-758-2421
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Fax |
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Authorized Official
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Title or Position | LEAD CLINICIAN
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Name | DINA ZWIEBEL
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Credential | LCPC
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Telephone | 773-669-4778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180009454
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License Number State | IL
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