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General NPI Number Information
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NPI Number | 1174883862
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Entity Type | Individual
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Provider Name | VANESSA KELL JANKOWSKI LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/29/2012
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Last Update Date | 02/18/2014
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Provider Practice Location Address
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Address Line | 1755 PARK STREET 200
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City | NAPERVILLE
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State | IL
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Zip | 60563
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Country | US
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Telephone | 630-712-6042
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Fax | 630-961-2580
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Provider Business Mailing Address
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Address Line | 1755 PARK STREET 200
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City | NAPERVILLE
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State | IL
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Zip | 60563
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Country | US
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Telephone | 630-712-6042
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Fax | 630-961-2580
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.015269
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License Number State | IL
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