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General NPI Number Information
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NPI Number | 1043368608
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Entity Type | Individual
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Provider Name | GEORGE L PAULEY MSW
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Gender | Male
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 464 CENTRAL AVE #30
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City | NORTHFIELD
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State | IL
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Zip | 60093-3040
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Country | US
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Telephone | 847-446-5545
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Fax |
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Provider Business Mailing Address
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Address Line | 5415 N SHERIDAN RD #4811
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City | CHICAGO
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State | IL
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Zip | 60640-1954
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Country | US
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Telephone | 773-784-4566
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | IL
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