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General NPI Number Information
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NPI Number | 1922513647
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Entity Type | Individual
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Provider Name | HEATHER ANDREA PERKINS LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/04/2017
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Last Update Date | 01/14/2021
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Provider Practice Location Address
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Address Line | 1370 S WHITE OAK DR APT 121
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City | WAUKEGAN
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State | IL
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Zip | 60085-8345
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Country | US
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Telephone | 773-677-6824
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 DODGE AVE UNIT 2
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City | EVANSTON
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State | IL
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Zip | 60201-4033
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Country | US
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Telephone | 773-677-6824
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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