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General NPI Number Information
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NPI Number | 1427848233
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Entity Type | Individual
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Provider Name | JOSHUA HULETT LSW
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Gender | Male
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 404 N HERSHEY RD STE C
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City | BLOOMINGTON
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State | IL
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Zip | 61704-3560
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Country | US
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Telephone | 877-381-6538
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Fax | 309-590-5990
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Provider Business Mailing Address
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Address Line | 55 E JACKSON BLVD STE 1500
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City | CHICAGO
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State | IL
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Zip | 60604-4184
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Country | US
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Telephone | 312-663-1300
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Fax | 312-663-0504
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150113005
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License Number State | IL
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