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General NPI Number Information
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NPI Number | 1548169915
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Entity Type | Individual
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Provider Name | REBECCA CARLINO LSW MASTERS
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Gender | Female
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 1700 N FARNSWORTH AVE
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City | AURORA
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State | IL
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Zip | 60505-1523
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Country | US
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Telephone | 630-820-6303
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Fax | 815-640-6946
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Provider Business Mailing Address
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Address Line | 424 W MADISON ST
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City | OTTAWA
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State | IL
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Zip | 61350-2833
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Country | US
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Telephone | 815-431-3051
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Fax | 815-640-6946
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150129956
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License Number State | IL
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