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General NPI Number Information
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NPI Number | 1205255734
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Entity Type | Individual
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Provider Name | RACHEL ZAJICEK DSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/13/2014
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 310 N HAMMES AVE
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City | JOLIET
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State | IL
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Zip | 60435-8118
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Country | US
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Telephone | 630-267-2633
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Fax | 815-768-4254
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Provider Business Mailing Address
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Address Line | 310 N HAMMES AVE STE 201A
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City | JOLIET
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State | IL
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Zip | 60435-8127
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Country | US
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Telephone | 630-267-2633
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Fax | 815-768-4254
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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 | 149.016515
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License Number State | IL
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