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General NPI Number Information
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NPI Number | 1912706391
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Entity Type | Individual
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Provider Name | ANDREA FARFAN
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Gender | Female
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | 4905 OLD ORCHARD CTR STE 531
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City | SKOKIE
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State | IL
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Zip | 60077-4737
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Country | US
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Telephone | 312-620-1420
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Fax |
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Provider Business Mailing Address
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Address Line | 1969 W MONTROSE AVE
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City | CHICAGO
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State | IL
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Zip | 60613-6697
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Country | US
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Telephone | 312-823-3405
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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 |
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License Number State |
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