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General NPI Number Information
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NPI Number | 1033414206
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Entity Type | Individual
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Provider Name | MS. MELPO KATSAROS
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Gender | Female
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 2030 E ALGONQUIN RD SUITE 401
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City | SCHAUMBURG
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State | IL
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Zip | 60173-4188
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Country | US
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Telephone | 708-906-6281
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Fax |
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Provider Business Mailing Address
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Address Line | 4539 HUNTINGTON BLVD
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60192-1002
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Country | US
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Telephone | 708-906-6281
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Fax |
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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 | 180.00759
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License Number State | IL
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