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General NPI Number Information
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NPI Number | 1346952306
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Entity Type | Individual
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Provider Name | TIMOTHY PETER KARMIK MSW, LSW
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Gender | Male
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Dates
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Enumeration Date | 12/21/2022
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 2244 95TH ST # 218
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City | NAPERVILLE
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State | IL
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Zip | 60564-8033
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Country | US
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Telephone | 309-826-5464
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Fax |
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Provider Business Mailing Address
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Address Line | 732 CHARISMATIC DR
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City | OSWEGO
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State | IL
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Zip | 60543-7003
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Country | US
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Telephone | 309-826-5464
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150.109959
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License Number State | IL
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