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General NPI Number Information
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NPI Number | 1821346388
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Entity Type | Individual
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Provider Name | DEBORAH ALTMAN L.C.P.C., N.C.C.
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Gender | Female
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 1030 N. CLARK #303
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City | CHICAGO
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State | IL
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Zip | 60610-5467
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Country | US
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Telephone | 773-234-2271
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 N. CLARK #303
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City | CHICAGO
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State | IL
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Zip | 60610-5467
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Country | US
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Telephone | 773-234-2271
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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 | 180.008096
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 2346914
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License Number State | IL
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