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General NPI Number Information
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NPI Number | 1053878728
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Entity Type | Individual
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Provider Name | BARBARA EUNICE PACHMAYER I LCPC
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Gender | Female
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Dates
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Enumeration Date | 02/28/2019
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Last Update Date | 02/28/2019
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Provider Practice Location Address
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Address Line | 2 AMERICAN WAY
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City | ELGIN
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State | IL
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Zip | 60120-4341
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Country | US
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Telephone | 847-742-3545
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Fax | 847-742-3559
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Provider Business Mailing Address
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Address Line | 228 CLEARBROOK LN
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1901
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Country | US
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Telephone | 630-525-1743
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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 | 180003633
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License Number State | IL
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