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General NPI Number Information
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NPI Number | 1497294904
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Entity Type | Organization
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Legal Business Name | RECHARGE COUNSELING P.C.
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 29 S WEBSTER ST SUITE 290D
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City | NAPERVILLE
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State | IL
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Zip | 60540-5356
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Country | US
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Telephone | 309-255-0628
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Fax | 888-748-1286
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Provider Business Mailing Address
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Address Line | 25004 WRIGHT LN
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City | PLAINFIELD
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State | IL
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Zip | 60585-5814
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Country | US
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Telephone | 309-255-0628
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Fax | 888-748-1286
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Authorized Official
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Title or Position | CEO/FOUNDER/OWNER
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Name | MRS. SARAH CLELL PRENDERGAST
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Credential | LCPC
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Telephone | 309-255-0628
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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 | 180.009848
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License Number State | IL
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