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General NPI Number Information
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NPI Number | 1265145379
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Entity Type | Organization
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Legal Business Name | ACCENDO WELLNESS INC.
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Dates
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Enumeration Date | 01/04/2023
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 3915 SARATOGA AVE APT 208
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-2030
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Country | US
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Telephone | 630-341-0365
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Fax |
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Provider Business Mailing Address
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Address Line | 3915 SARATOGA AVE APT 208
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-2030
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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 | CLINICAL THERAPIST
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Name | MR. ANTHONY L STEUER
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Credential | LCPC
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Telephone | 630-341-0365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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