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General NPI Number Information
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NPI Number | 1841727542
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Entity Type | Individual
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Provider Name | MICHAEL NICHOLAS RIEHLMANN LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/12/2017
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Last Update Date | 08/18/2019
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Provider Practice Location Address
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Address Line | 2451 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60614-1509
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Country | US
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Telephone | 504-228-3931
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Fax |
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Provider Business Mailing Address
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Address Line | 1619 W CARMEN AVE APT 1
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City | CHICAGO
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State | IL
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Zip | 60640-2763
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Country | US
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Telephone | 504-228-3931
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149021484
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License Number State | IL
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