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General NPI Number Information
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NPI Number | 1457361289
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Entity Type | Individual
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Provider Name | JOSEPH V VASILEVSKI M.A., L.C.P.C
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Gender | Male
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10526 W CERMAK RD
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City | WESTCHESTER
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State | IL
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Zip | 60154-5249
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Country | US
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Telephone | 708-257-1808
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Fax |
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Provider Business Mailing Address
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Address Line | 7907 W CORTLAND PKWY
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City | ELMWOOD PARK
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State | IL
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Zip | 60707-3525
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Country | US
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Telephone | 708-257-1808
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180-005541
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License Number State | IL
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