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General NPI Number Information
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NPI Number | 1558744078
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Entity Type | Individual
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Provider Name | LINDSEY CRAVEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/01/2015
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Last Update Date | 07/01/2015
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Provider Practice Location Address
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Address Line | 25224 W EAMES ST
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City | CHANNAHON
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State | IL
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Zip | 60410-5215
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Country | US
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Telephone | 815-467-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 MOUNTAIN RIDGE PASS
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City | PLAINFIELD
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State | IL
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Zip | 60586-2773
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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 |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149017632
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License Number State | IL
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