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General NPI Number Information
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NPI Number | 1396200861
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Entity Type | Individual
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Provider Name | JAMIE LOU DUNLAP LCPC
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Gender | Female
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Dates
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Enumeration Date | 02/08/2019
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 137 N OAK PARK AVE STE 327
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City | OAK PARK
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State | IL
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Zip | 60301-1344
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Country | US
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Telephone | 708-831-3782
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Fax |
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Provider Business Mailing Address
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Address Line | 2711 N ALBANY AVE # 2F
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City | CHICAGO
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State | IL
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Zip | 60647-1501
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Country | US
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Telephone | 309-236-0501
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178.014597
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.014810
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License Number State | IL
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