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General NPI Number Information
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NPI Number | 1962632406
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Entity Type | Individual
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Provider Name | DAUGHON LANGNER PSY.D., LCP, BCN
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Gender | Female
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Dates
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Enumeration Date | 07/17/2009
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Last Update Date | 06/15/2011
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Provider Practice Location Address
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Address Line | 30 N MICHIGAN AVE 1610
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City | CHICAGO
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State | IL
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Zip | 60602-3402
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Country | US
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Telephone | 210-663-4530
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Fax | 775-521-7598
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Provider Business Mailing Address
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Address Line | 633 S PLYMOUTH CT 059
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City | CHICAGO
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State | IL
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Zip | 60605-1845
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Country | US
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Telephone | 210-663-4530
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Fax | 775-521-7598
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178006088
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071008033
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License Number State | IL
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