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General NPI Number Information
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NPI Number | 1407068331
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Entity Type | Organization
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Legal Business Name | GERALDINE KATZ-ATKIN P C
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 255 E LIBERTY DR APT 605
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City | WHEATON
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State | IL
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Zip | 60187-5428
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Country | US
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Telephone | 630-269-3726
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Fax |
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Provider Business Mailing Address
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Address Line | 255 E LIBERTY DR APT 605
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City | WHEATON
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State | IL
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Zip | 60187-5428
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Country | US
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Telephone | 630-269-3726
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. GERALDINE JOYCE KATZ-ATKIN
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Credential | LCSW
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Telephone | 630-942-9370
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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 | 149003754
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License Number State | IL
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