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General NPI Number Information
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NPI Number | 1811130586
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Entity Type | Individual
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Provider Name | JACQUELINE ZAGRANS LMFT, LPC
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Gender | Female
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Dates
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Enumeration Date | 04/10/2009
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Last Update Date | 12/01/2014
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Provider Practice Location Address
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Address Line | 18 E. DUNDEE RD BUILDING 4/SUITE 100
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City | BARRINGTON
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State | IL
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Zip | 60010
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Country | US
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Telephone | 330-472-4540
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Fax | 847-220-9299
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Provider Business Mailing Address
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Address Line | 4440 HARBOR CIR
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60192-1012
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Country | US
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Telephone | 330-472-4540
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 166.000758
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License Number State | IL
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