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General NPI Number Information
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NPI Number | 1023199262
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Entity Type | Individual
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Provider Name | KAREN J VATTHAUER LCPC, BCPC
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 06/15/2010
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Provider Practice Location Address
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Address Line | 800 N WEBSTER ST
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City | TAYLORVILLE
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State | IL
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Zip | 62568-1258
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Country | US
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Telephone | 217-827-2877
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Fax | 217-824-3451
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Provider Business Mailing Address
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Address Line | PO BOX 194 800 N. WEBSTER ST.
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City | TAYLORVILLE
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State | IL
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Zip | 62568-0194
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Country | US
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Telephone | 217-827-2877
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Fax | 217-824-3451
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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 | 180001896
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License Number State | IL
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