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General NPI Number Information
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NPI Number | 1225221955
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Entity Type | Organization
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Legal Business Name | AMERICAN FEDERATION OF STATE COUNTY & MUNICIPAL EMPL BENEFIT TRUST FD
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 29 NORTH WACKER DRIVE SUITE 704
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City | CHICAGO
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State | IL
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Zip | 60606-9590
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Country | US
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Telephone | 312-629-1550
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Fax | 312-629-1558
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Provider Business Mailing Address
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Address Line | 29 NORTH WACKER DRIVE SUITE 704
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City | CHICAGO
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State | IL
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Zip | 60606-9590
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Country | US
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Telephone | 312-629-1550
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Fax | 312-629-1558
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. STEVEN M HAUGHT
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Credential | LEPC CEAP CSADC
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Telephone | 312-629-1550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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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 |
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