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General NPI Number Information
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NPI Number | 1063664589
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Entity Type | Organization
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Legal Business Name | VIVIENNE A OSKVAREK LTD
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Dates
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Enumeration Date | 10/15/2008
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Last Update Date | 10/15/2008
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Provider Practice Location Address
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Address Line | 200 N HAMMES AVE
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City | JOLIET
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State | IL
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Zip | 60435-6677
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Country | US
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Telephone | 708-606-4725
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Fax | 708-460-3688
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Provider Business Mailing Address
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Address Line | 9940 LA REINA CT
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City | ORLAND PARK
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State | IL
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Zip | 60462-3138
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Country | US
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Telephone | 708-606-4725
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Fax | 708-460-3688
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | MRS. VIVIENNE A OSKVAREK
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Credential | MA LCPC CADC MISA II
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Telephone | 708-606-4725
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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 | 180.006273
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License Number State | IL
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