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General NPI Number Information
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NPI Number | 1386765642
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Entity Type | Individual
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Provider Name | THOMAS SLONKA LCSW, CADC
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 04/15/2021
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Provider Practice Location Address
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Address Line | 8 SALT CREEK LN STE 202
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City | HINSDALE
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State | IL
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Zip | 60521-2903
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Country | US
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Telephone | 331-221-2505
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Fax | 331-221-2719
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Provider Business Mailing Address
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Address Line | 8 SALT CREEK LN STE 202
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City | HINSDALE
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State | IL
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Zip | 60521-2903
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Country | US
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Telephone | 331-221-2505
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Fax | 331-221-2719
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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 | 149.002799
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 16634
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License Number State | IL
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