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General NPI Number Information
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NPI Number | 1235903022
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Entity Type | Individual
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Provider Name | SYLVIA SHARESE NEIL LPC, ALMFT
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Gender | Female
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 210 N HAMMES AVE STE 103B
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City | JOLIET
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State | IL
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Zip | 60435-6688
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Country | US
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Telephone | 815-582-3939
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Fax |
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Provider Business Mailing Address
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Address Line | 12905 HOWE DR
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City | LEAWOOD
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State | KS
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Zip | 66209-1740
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Country | US
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Telephone |
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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 | 04436
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 208.001102
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178.019483
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License Number State | IL
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