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General NPI Number Information
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NPI Number | 1376222984
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Entity Type | Organization
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Legal Business Name | BLOOM SPACE COUNSELING, PLLC
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 315 S PEORIA AVE
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City | DIXON
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State | IL
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Zip | 61021-2956
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Country | US
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Telephone | 815-677-6280
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Fax |
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Provider Business Mailing Address
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Address Line | 446 RIVER BLUFF DR
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City | DIXON
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State | IL
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Zip | 61021-8768
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Country | US
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Telephone | 815-677-6280
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | JESSICA WEST
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Credential | LCSW
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Telephone | 815-677-6280
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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 |
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License Number State |
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