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General NPI Number Information
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NPI Number | 1396939120
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Entity Type | Individual
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Provider Name | JAMES L LAWYER LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 04/10/2013
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Provider Practice Location Address
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Address Line | 655 W IRVING PARK RD SUITE 204
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City | CHICAGO
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State | IL
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Zip | 60613-3123
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Country | US
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Telephone | 773-654-3484
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Fax |
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Provider Business Mailing Address
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Address Line | 1818 W PETERSON AVE UNIT 112
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City | CHICAGO
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State | IL
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Zip | 60660-3285
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Country | US
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Telephone | 773-654-3484
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Fax | 773-654-3484
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 149-003593
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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 | 149-003593
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149-003593
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License Number State | IL
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