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General NPI Number Information
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NPI Number | 1407742737
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Entity Type | Organization
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Legal Business Name | PAUL SCHELLENBERG, LLC
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 3526 N CALIFORNIA AVE STE 206
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City | PEORIA
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State | IL
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Zip | 61603-1164
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Country | US
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Telephone | 309-696-0267
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Fax |
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Provider Business Mailing Address
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Address Line | 3526 N CALIFORNIA AVE STE 206
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City | PEORIA
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State | IL
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Zip | 61603-1164
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Country | US
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Telephone | 309-696-0267
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL J SCHELLENBERG
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Credential | LCPC
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Telephone | 309-696-0267
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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 |
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License Number State |
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