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General NPI Number Information
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NPI Number | 1972987477
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Entity Type | Organization
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Legal Business Name | JUDITH NEWMAN, LCSW, LTD
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 07/14/2015
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Provider Practice Location Address
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Address Line | 122 S MICHIGAN AVE
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City | CHICAGO
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State | IL
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Zip | 60603-6191
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Country | US
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Telephone | 312-922-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 122 S MICHIGAN AVE
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City | CHICAGO
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State | IL
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Zip | 60603-6191
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Country | US
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Telephone | 312-922-4545
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JUDITH NEWMAN
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Credential | LCSW
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Telephone | 312-922-4545
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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 | 149001035
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License Number State | IL
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