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General NPI Number Information
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NPI Number | 1265253744
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Entity Type | Individual
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Provider Name | PAULINE K LIMBERG LPC, MA, MDIV
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Gender | Female
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 1110 W LAKE COOK RD STE 152
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-1997
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Country | US
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Telephone | 847-497-0008
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Fax |
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Provider Business Mailing Address
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Address Line | 2312 BIRCHWOOD AVE
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City | WILMETTE
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State | IL
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Zip | 60091-2348
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Country | US
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Telephone | 630-674-7473
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 178.020733
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License Number State | IL
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