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General NPI Number Information
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NPI Number | 1992882732
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Entity Type | Individual
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Provider Name | ADRIENNE LYNNE DANCY LCPC
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 10725 S WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60643-3217
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Country | US
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Telephone | 312-952-2006
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Fax | 773-310-3488
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Provider Business Mailing Address
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Address Line | 10725 S WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60643-3217
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Country | US
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Telephone | 312-952-2006
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Fax | 773-310-3488
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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 | 180003903
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License Number State | IL
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