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General NPI Number Information
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NPI Number | 1437968328
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Entity Type | Organization
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Legal Business Name | KEY INSIGHTS COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 4006 CRAIL RD
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City | CHAMPAIGN
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State | IL
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Zip | 61822-8518
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Country | US
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Telephone | 217-721-3062
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Fax |
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Provider Business Mailing Address
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Address Line | 4006 CRAIL RD
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City | CHAMPAIGN
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State | IL
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Zip | 61822-8518
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | CASHONNA BERGER
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Credential |
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Telephone | 217-799-1809
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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 |
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License Number State |
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