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General NPI Number Information
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NPI Number | 1174856769
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Entity Type | Individual
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Provider Name | LINDA M. HOWLEY-SKUBY M.S.W., L.C.S.W., CA
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Gender | Female
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Dates
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Enumeration Date | 09/14/2009
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Last Update Date | 07/10/2014
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Provider Practice Location Address
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Address Line | 207 WEST JEFFERSON STREET #501
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City | BLOOMINGTON
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State | IL
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Zip | 61701
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Country | US
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Telephone | 309-828-1988
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Fax | 309-828-6540
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Provider Business Mailing Address
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Address Line | 712 E EMPIRE ST
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City | BLOOMINGTON
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State | IL
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Zip | 61701-3252
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Country | US
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Telephone | 309-530-8555
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1418
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 1362616
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 149.002048
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License Number State | IL
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