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General NPI Number Information
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NPI Number | 1275253783
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Entity Type | Individual
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Provider Name | KIERRA PAULY LMSW, LSW
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Gender | Female
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Dates
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Enumeration Date | 09/02/2022
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1300 N MILL ST
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City | NAPERVILLE
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State | IL
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Zip | 60563-6301
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Country | US
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Telephone | 630-206-4060
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Fax | 855-871-8351
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE STE 1223
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City | EVANSTON
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State | IL
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Zip | 60201-1700
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149030334
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 113046
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License Number State | IA
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