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General NPI Number Information
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NPI Number | 1356532766
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Entity Type | Organization
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Legal Business Name | DIANA FOX COUNSELING SERVICES
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 1550 SPRING RD THE SPECTRUM CENTER, SUITE 215
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City | OAK BROOK
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State | IL
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Zip | 60523-1320
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Country | US
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Telephone | 630-688-2169
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Fax |
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Provider Business Mailing Address
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Address Line | 251 N CATALPA ST
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City | ADDISON
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State | IL
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Zip | 60101-2987
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Country | US
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Telephone | 630-688-2169
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DIANA LEE FOX
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Credential | MS,LCPC,CADC
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Telephone | 630-688-2169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | IL
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