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General NPI Number Information
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NPI Number | 1437674892
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Entity Type | Individual
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Provider Name | WHITNEY LABRIOLA ED.S., NCSP
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Gender | Female
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Dates
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Enumeration Date | 08/07/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 301 EATON AVE
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City | ROMEOVILLE
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State | IL
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Zip | 60446-1701
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Country | US
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Telephone | 815-886-3380
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Fax |
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Provider Business Mailing Address
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Address Line | 2172 MISTY CREEK TRL
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City | BOLINGBROOK
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State | IL
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Zip | 60490-5043
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Country | US
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Telephone | 630-456-1070
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | IL
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