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General NPI Number Information
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NPI Number | 1881288850
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Entity Type | Individual
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Provider Name | HANNAH CHRISTINE SCHUPBACH LCPC
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Gender | Female
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Dates
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Enumeration Date | 02/21/2021
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 180 W PARK AVE
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City | ELMHURST
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State | IL
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Zip | 60126-3357
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Country | US
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Telephone | 603-428-7890
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Fax |
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Provider Business Mailing Address
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Address Line | 180 W PARK AVE
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City | ELMHURST
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State | IL
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Zip | 60126-3357
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Country | US
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Telephone | 773-677-6914
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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 | 178.015974
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180.014029
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License Number State | IL
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