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General NPI Number Information
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NPI Number | 1225192289
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Entity Type | Individual
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Provider Name | DAVID WILLIAM BIESCHKE MSW, LCSW
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Gender | Male
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 30 N MICHIGAN AVE SUITE 1621
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City | CHICAGO
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State | IL
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Zip | 60602-3402
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Country | US
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Telephone | 773-508-4788
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Fax | 219-923-9476
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Provider Business Mailing Address
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Address Line | 2891 CHURCHILL LN
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City | HIGHLAND
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State | IN
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Zip | 46322-5541
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Country | US
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Telephone | 219-923-9476
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Fax | 219-923-9476
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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 | 34004786A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | IL
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