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General NPI Number Information
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NPI Number | 1043524903
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Entity Type | Organization
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Legal Business Name | CLINICAL CARE CONSULTANTS PC
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 11/09/2011
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Provider Practice Location Address
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Address Line | 3325 N ARLINGTON HEIGHTS RD SUITE 400B
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1582
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Country | US
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Telephone | 877-749-0514
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Fax |
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Provider Business Mailing Address
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Address Line | 3325 N ARLINGTON HEIGHTS RD SUITE 400B
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1582
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Country | US
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Telephone | 847-749-0514
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROSS A ROSENBERG
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Credential | M.ED., LCPC, CADC
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Telephone | 847-749-0514
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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 | 180002762
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License Number State | IL
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