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General NPI Number Information
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NPI Number | 1972141950
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Entity Type | Individual
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Provider Name | ALISON DOWD
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Gender | Female
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Dates
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Enumeration Date | 12/20/2019
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Last Update Date | 01/13/2020
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Provider Practice Location Address
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Address Line | 4740 N CLARK ST
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City | CHICAGO
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State | IL
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Zip | 60640-4689
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Country | US
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Telephone | 872-235-0112
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Fax |
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Provider Business Mailing Address
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Address Line | 2172 N MAPLEWOOD AVE APT 2
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City | CHICAGO
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State | IL
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Zip | 60647-0519
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Country | US
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Telephone | 816-519-0728
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 178.015553
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178.015553
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 178.015553
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License Number State | IL
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