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General NPI Number Information
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NPI Number | 1528180940
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Entity Type | Organization
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Legal Business Name | STEVE R MEISNER LCPC
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Dates
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Enumeration Date | 04/05/2007
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 136 WOODLAND CIR
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City | NORTH AURORA
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State | IL
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Zip | 60542-3323
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Country | US
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Telephone | 630-802-2901
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Fax |
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Provider Business Mailing Address
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Address Line | 1770 S RANDALL RD STE. A, #222
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City | GENEVA
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State | IL
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Zip | 60134-4646
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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 | OWNER
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Name | STEVE MEISNER
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Credential | MS, LCPC
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Telephone | 630-802-2901
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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 | 180-002979
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License Number State | IL
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