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General NPI Number Information
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NPI Number | 1194269266
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Entity Type | Individual
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Provider Name | HOLLY KATZ IL L.C.P.C, CO LPC
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Gender | Female
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Dates
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Enumeration Date | 12/08/2016
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 2416 SPYGLASS HILL CT
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City | RIVERWOODS
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State | IL
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Zip | 60015-3862
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Country | US
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Telephone | 847-452-7554
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Fax |
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Provider Business Mailing Address
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Address Line | 2416 SPYGLASS HILL CT
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City | RIVERWOODS
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State | IL
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Zip | 60015-3862
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Country | US
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Telephone | 847-452-7554
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 178005705
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License Number State | IL
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