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General NPI Number Information
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NPI Number | 1952030272
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Entity Type | Organization
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Legal Business Name | GREENVIEW THERAPY, LLC
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Dates
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Enumeration Date | 06/10/2022
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Last Update Date | 06/10/2022
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Provider Practice Location Address
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Address Line | 3814 N GREENVIEW AVE APT 2
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City | CHICAGO
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State | IL
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Zip | 60613-7048
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Country | US
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Telephone | 914-588-8086
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Fax |
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Provider Business Mailing Address
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Address Line | 3814 N GREENVIEW AVE APT 2
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City | CHICAGO
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State | IL
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Zip | 60613-7048
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LCSW, THERAPIST
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Name | RACHEL SHINE
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Credential | LCSW
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Telephone | 914-588-8086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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