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General NPI Number Information
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NPI Number | 1235785171
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Entity Type | Individual
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Provider Name | MICHELE PICCOZZI ALBERT LPC
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Gender | Female
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Dates
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Enumeration Date | 08/15/2019
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 3550 HOBSON RD STE 201
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City | WOODRIDGE
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State | IL
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Zip | 60517-5415
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Country | US
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Telephone | 630-506-1491
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Fax |
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Provider Business Mailing Address
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Address Line | 6406 CHERRYWOOD CT
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City | FOX LAKE
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State | IL
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Zip | 60020-0808
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Country | US
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Telephone | 630-670-5060
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180016645
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License Number State | IL
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