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General NPI Number Information
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NPI Number | 1265223689
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Entity Type | Individual
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Provider Name | LAUREN MARIE BECKER CADC
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Gender | Female
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 2400 GLENWOOD AVE STE 126
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City | JOLIET
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State | IL
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Zip | 60435-5495
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Country | US
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Telephone | 815-730-7521
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Fax | 815-730-7524
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Provider Business Mailing Address
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Address Line | 256 N PRAIRIE AVE
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City | JOLIET
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State | IL
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Zip | 60435-6952
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Country | US
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Telephone | 815-483-1018
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Fax | 815-483-1018
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37709
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License Number State | IL
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