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General NPI Number Information
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NPI Number | 1609513241
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Entity Type | Organization
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Legal Business Name | MANSELL CONSULTING LLC
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Dates
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Enumeration Date | 05/16/2022
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 10309 W LINCOLN HWY STE 116
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City | FRANKFORT
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State | IL
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Zip | 60423-1280
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Country | US
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Telephone | 630-926-8889
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Fax | 779-324-2866
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Provider Business Mailing Address
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Address Line | 10562 LEXINGTON LN
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City | FRANKFORT
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State | IL
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Zip | 60423-2216
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Country | US
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Telephone | 630-926-8889
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Fax | 779-324-2866
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Authorized Official
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Title or Position | OWNER
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Name | LAUREN MANSELL
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Credential | DPT
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Telephone | 708-955-9303
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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