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General NPI Number Information
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NPI Number | 1851726301
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Entity Type | Organization
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Legal Business Name | CIRIO THERAPY
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Dates
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Enumeration Date | 09/03/2013
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Last Update Date | 09/03/2013
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Provider Practice Location Address
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Address Line | 1740 RIDGE AVE SUITE 200 C
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City | EVANSTON
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State | IL
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Zip | 60201-5918
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Country | US
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Telephone | 312-451-8980
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Fax | 312-602-1002
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Provider Business Mailing Address
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Address Line | 175 N FRANKLIN ST SUITE 301
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City | CHICAGO
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State | IL
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Zip | 60606-1832
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Country | US
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Telephone | 312-451-8980
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Fax | 312-602-1002
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MS. SIMONA L CIRIO
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Credential | LMFT
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Telephone | 312-451-8980
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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 | 166-000786
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License Number State | IL
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