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General NPI Number Information
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NPI Number | 1023563020
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Entity Type | Organization
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Legal Business Name | NEWTREE CENTER
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Dates
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Enumeration Date | 08/18/2016
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 600 SPRING HILL RING RD
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City | WEST DUNDEE
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State | IL
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Zip | 60118-7300
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Country | US
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Telephone | 815-988-7024
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Fax |
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Provider Business Mailing Address
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Address Line | 125 INDIAN LN
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City | CARPENTERSVILLE
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State | IL
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Zip | 60110-1413
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Country | US
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Telephone | 815-988-7024
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/THERAPIST
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Name | MRS. TAMARA PATTERSON
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Credential | LCPC, NCC, CADC
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Telephone | 815-988-7024
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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 | 180009179
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License Number State | IL
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