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NPI 1609965623

NPI 1609965623 : JANET LOU BISCAN MA, NCC, LCPC : BLUE ISLAND, IL

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General NPI Number Information
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    NPI Number           |    1609965623
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    Entity Type          |    Individual 
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    Provider Name        |    JANET LOU BISCAN MA, NCC, LCPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/11/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    13136 SOUTH WESTERN AVENUE 
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    City                 |    BLUE ISLAND
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    State                |    IL
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    Zip                  |    60406
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    Country              |    US
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    Telephone            |    708-974-5828
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2311 183RD ST APT 307 
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    City                 |    HOMEWOOD
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    State                |    IL
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    Zip                  |    60430-3154
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    Country              |    US
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    Telephone            |    708-957-3560
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    IL
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