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General NPI Number Information
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NPI Number | 1003025834
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Entity Type | Organization
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Legal Business Name | LINCOLN PASTORAL COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1700 N JEFFERSON ST
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City | LINCOLN
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State | IL
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Zip | 62656-1047
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Country | US
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Telephone | 217-732-6225
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Fax | 217-732-7272
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Provider Business Mailing Address
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Address Line | PO BOX 441 1700 N. JEFFERSON ST.
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City | LINCOLN
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State | IL
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Zip | 62656-0441
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Country | US
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Telephone | 217-732-6225
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Fax | 217-732-7272
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. CLARE STEVEN GRAMLEY
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Credential | LCPC
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Telephone | 217-732-6225
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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 | IL
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