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General NPI Number Information
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NPI Number | 1932688611
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Entity Type | Organization
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Legal Business Name | BRIGGS THERAPY GROUP, LLC
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Dates
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Enumeration Date | 08/13/2018
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Last Update Date | 08/13/2018
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Provider Practice Location Address
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Address Line | 6645 N OLIPHANT AVE STE F
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City | CHICAGO
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State | IL
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Zip | 60631-1585
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Country | US
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Telephone | 847-858-7277
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Fax | 855-787-3065
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Provider Business Mailing Address
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Address Line | 6645 N OLIPHANT AVE STE F
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City | CHICAGO
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State | IL
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Zip | 60631-1585
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Country | US
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Telephone | 847-858-7277
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Fax | 855-787-3065
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Authorized Official
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Title or Position | OWNER
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Name | DAVID E BRIGGS
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Credential | LCPC
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Telephone | 847-858-7277
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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 | 180008841
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License Number State | IL
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