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General NPI Number Information
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NPI Number | 1245874205
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Entity Type | Individual
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Provider Name | ADDALINE STOLL LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/03/2019
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Last Update Date | 09/14/2024
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Provider Practice Location Address
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Address Line | 33 W HIGGINS RD STE 955
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City | SOUTH BARRINGTON
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State | IL
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Zip | 60010-9135
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Country | US
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Telephone | 331-210-8260
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Fax |
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Provider Business Mailing Address
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Address Line | 1815 OAK ST
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City | ST CHARLES
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State | IL
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Zip | 60174-3634
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Country | US
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Telephone | 331-210-8260
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.021770
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License Number State | IL
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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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