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General NPI Number Information
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NPI Number | 1083036792
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Entity Type | Individual
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Provider Name | DEBORAH CARSTEN L.C.S.W
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Gender | Female
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 10/11/2015
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Provider Practice Location Address
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Address Line | 460 QUAIL RIDGE DRIVE
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City | WESTMONT
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State | IL
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Zip | 60559
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Country | US
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Telephone | 630-887-2900
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Fax | 630-986-2440
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Provider Business Mailing Address
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Address Line | 460 QUAIL RIDGE DRIVE
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City | WESTMONT
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State | IL
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Zip | 60559
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Country | US
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Telephone | 630-887-2900
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Fax | 630-986-2440
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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 | 149017946
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 20-5676237
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License Number State | IL
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