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General NPI Number Information
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NPI Number | 1598073280
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Entity Type | Individual
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Provider Name | KRISTIN JOELLE SEAMAN L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 09/16/2010
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Provider Practice Location Address
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Address Line | 1N121 COUNTY FARM RD STE 200
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City | WINFIELD
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State | IL
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Zip | 60190-2019
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Country | US
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Telephone | 630-665-3230
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Fax |
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Provider Business Mailing Address
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Address Line | 21W572 MAYFIELD CT
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City | GLEN ELLYN
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State | IL
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Zip | 60137-7016
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Country | US
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Telephone | 630-779-9166
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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 | 149008001
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License Number State | IL
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