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General NPI Number Information
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NPI Number | 1609657212
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Entity Type | Individual
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Provider Name | ELIZABETH CLAIRE OLIVER ED S, NCSP
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Gender | Female
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 2195 BRANDYWYN LN
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-6694
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Country | US
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Telephone | 847-955-3578
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Fax |
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Provider Business Mailing Address
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Address Line | 3355 W WILSON AVE APT 1F
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City | CHICAGO
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State | IL
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Zip | 60625-5336
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Country | US
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Telephone | 850-508-1388
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 981609
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License Number State | IL
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