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General NPI Number Information
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NPI Number | 1073662623
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Entity Type | Individual
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Provider Name | LISA MARIA NARDI LCPC
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Gender | Female
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 01/26/2009
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Provider Practice Location Address
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Address Line | 15020 S RAVINIA AVE SUITE 29
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City | ORLAND PARK
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State | IL
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Zip | 60462-3166
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Country | US
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Telephone | 708-873-9059
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Fax | 708-428-4504
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Provider Business Mailing Address
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Address Line | 15020 S RAVINIA AVE SUITE 29
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City | ORLAND PARK
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State | IL
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Zip | 60462-3166
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Country | US
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Telephone | 708-873-9059
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Fax | 708-428-4504
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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 | 180006980
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License Number State | IL
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