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General NPI Number Information
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NPI Number | 1588315030
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Entity Type | Individual
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Provider Name | EMILY K MAJKRZAK LSW
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Gender | Female
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Dates
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Enumeration Date | 01/17/2022
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 2100 MANCHESTER RD STE 501-1
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City | WHEATON
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State | IL
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Zip | 60187-4579
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Country | US
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Telephone | 331-716-2449
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Fax |
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Provider Business Mailing Address
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Address Line | 2711 HOBSON RD APT 5
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City | WOODRIDGE
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State | IL
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Zip | 60517-1505
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Country | US
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Telephone | 708-603-1158
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150106913
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License Number State | IL
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