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General NPI Number Information
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NPI Number | 1316589542
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Entity Type | Individual
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Provider Name | KATHERINE MELISSA HELM-LEWIS PHD
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Gender | Female
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Dates
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Enumeration Date | 10/09/2019
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | FOX VALLEY INSTITUTE 640 NORTH RIVER ROAD, SUITE 108
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City | NAPERVILLE
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State | IL
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Zip | 60423
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Country | US
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Telephone | 708-870-2139
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Fax |
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Provider Business Mailing Address
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Address Line | 881 SAINT ANDREWS WAY
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City | FRANKFORT
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State | IL
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Zip | 60423-8767
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Country | US
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Telephone | 708-870-2139
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 071006755
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License Number State | IL
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