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General NPI Number Information
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NPI Number | 1881146314
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Entity Type | Individual
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Provider Name | RACHEL BAKER
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Gender | Female
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Dates
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Enumeration Date | 11/01/2016
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Last Update Date | 09/02/2020
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Provider Practice Location Address
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Address Line | 5412 N CLARK ST
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City | CHICAGO
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State | IL
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Zip | 60640-1223
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Country | US
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Telephone | 773-922-0976
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Fax | 847-498-4234
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Provider Business Mailing Address
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Address Line | 2901 N SEELEY AVE
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City | CHICAGO
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State | IL
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Zip | 60618-8306
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178.012438
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.012815
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License Number State | IL
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