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General NPI Number Information
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NPI Number | 1144255522
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Entity Type | Individual
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Provider Name | ELLEN HURST-ELLIOT M.A.
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 29W522 BATAVIA RD
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City | WARRENVILLE
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State | IL
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Zip | 60555-2007
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Country | US
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Telephone | 630-988-2812
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Fax | 630-566-1622
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Provider Business Mailing Address
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Address Line | 1960 LYNDHURST LN
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City | AURORA
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State | IL
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Zip | 60503-8515
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Country | US
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Telephone | 630-988-2812
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Fax | 630-566-1622
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | IL
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