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General NPI Number Information
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NPI Number | 1467707851
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Entity Type | Organization
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Legal Business Name | BRZOSTOWSKI COUNSELING SERVICES INC.
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Dates
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Enumeration Date | 07/21/2012
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Last Update Date | 10/14/2012
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Provider Practice Location Address
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Address Line | 6088 HALLORAN LN
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60192-4816
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Country | US
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Telephone | 847-886-4326
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Fax |
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Provider Business Mailing Address
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Address Line | 6088 HALLORAN LN
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60192-4816
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Country | US
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Telephone | 847-886-4326
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANIEL J. BRZOSTOWSKI
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Credential | MS, LCPC
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Telephone | 847-886-4326
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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 | 180005134
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License Number State | IL
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