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General NPI Number Information
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NPI Number | 1497187827
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Entity Type | Organization
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Legal Business Name | STEPHANIE CALATO COUNSELING
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Dates
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Enumeration Date | 08/08/2013
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 3504 WIND POINT DR
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City | ROCKFORD
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State | IL
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Zip | 61108-3721
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Country | US
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Telephone | 815-218-7964
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Fax | 815-391-8004
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Provider Business Mailing Address
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Address Line | 4615 E STATE ST SUITE 130
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City | ROCKFORD
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State | IL
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Zip | 61108-2100
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Country | US
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Telephone | 815-218-7964
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Fax | 815-391-8004
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Authorized Official
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Title or Position | COUNSELOR/OWNER
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Name | STEPHANIE CALATO
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Credential | LCPC
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Telephone | 815-218-7964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 180.007094
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License Number State | IL
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