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General NPI Number Information
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NPI Number | 1548366792
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Entity Type | Individual
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Provider Name | TERRY LYNN SCHNOLL MA LCPC
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Gender | Female
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5820 W IRVING PARK RD VITAL REHABILITATION
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City | CHICAGO
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State | IL
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Zip | 60634
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Country | US
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Telephone | 773-685-8482
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Fax | 773-685-8479
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Provider Business Mailing Address
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Address Line | 4831 N HERMITAGE AVE #3B
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City | CHICAGO
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State | IL
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Zip | 60640
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Country | US
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Telephone | 773-805-1196
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Fax | 773-989-0155
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | IL
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