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General NPI Number Information
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NPI Number | 1104734482
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Entity Type | Individual
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Provider Name | DALE JAY DITTO LSW
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Gender | Male
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 2101 S ARLINGTON HEIGHTS RD STE 116
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-4142
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Country | US
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Telephone | 847-666-5339
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Fax | 847-637-5479
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Provider Business Mailing Address
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Address Line | 918 W WINONA ST APT 601
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City | CHICAGO
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State | IL
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Zip | 60640-6347
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Country | US
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Telephone | 559-720-4941
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150.110807
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License Number State | IL
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