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General NPI Number Information
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NPI Number | 1568339893
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Entity Type | Individual
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Provider Name | PAIGE VERONDA LPC
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Gender | Female
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 1035 E MAIN ST
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City | DANVILLE
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State | IL
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Zip | 61832-6037
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Country | US
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Telephone | 217-213-6114
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Fax |
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Provider Business Mailing Address
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Address Line | 19327 E 550 NORTH RD
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City | GEORGETOWN
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State | IL
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Zip | 61846-6216
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | IL
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