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General NPI Number Information
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NPI Number | 1912790452
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Entity Type | Individual
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Provider Name | PRIYANKA RAO PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 2845 N SHERIDAN RD SUITE 809
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City | CHICAGO
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State | IL
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Zip | 60657
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Country | US
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Telephone | 312-761-4721
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Fax |
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Provider Business Mailing Address
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Address Line | 40 E HURON ST STE 304
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City | CHICAGO
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State | IL
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Zip | 60611-5244
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Country | US
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Telephone | 312-788-7621
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Fax | 312-638-0178
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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 | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 071.022092
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 071.022092
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071.022092
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071022092
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License Number State | IL
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