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General NPI Number Information
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NPI Number | 1417471178
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Entity Type | Individual
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Provider Name | DANIEL LEE KASPER-MACMILLAN LCPC,LPCC,LPC,IMHP
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Gender | Male
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Dates
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Enumeration Date | 08/03/2017
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 225 N MICHIGAN AVE STE 1430
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City | CHICAGO
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State | IL
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Zip | 60601-7653
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Country | US
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Telephone | 312-971-3457
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Fax |
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Provider Business Mailing Address
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Address Line | 5724 N LOWELL AVE
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City | CHICAGO
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State | IL
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Zip | 60646-5926
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Country | US
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Telephone | 260-316-9713
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 178010844
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License Number State | IL
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