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General NPI Number Information
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NPI Number | 1548731177
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Entity Type | Organization
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Legal Business Name | LIFE IMPROVEMENTS, PLLC
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Dates
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Enumeration Date | 12/07/2018
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Last Update Date | 12/07/2018
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Provider Practice Location Address
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Address Line | 1798 KNOX ROAD 700 E
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City | GALESBURG
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State | IL
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Zip | 61401-8814
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Country | US
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Telephone | 309-335-6782
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Fax | 309-335-6782
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Provider Business Mailing Address
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Address Line | 1798 KNOX ROAD 700 E
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City | GALESBURG
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State | IL
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Zip | 61401-8814
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Country | US
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Telephone | 309-335-6782
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Fax | 309-341-2030
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BONNIE LOU BAIR
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Credential | LCPC
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Telephone | 309-335-6782
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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 |
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License Number State |
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