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General NPI Number Information
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NPI Number | 1629830955
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Entity Type | Individual
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Provider Name | LAUREN NICHOLE PRIEBOY LPC
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Gender | Female
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 1717 N NAPER BLVD STE 200
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City | NAPERVILLE
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State | IL
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Zip | 60563-8838
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Country | US
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Telephone | 708-480-2048
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Fax |
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Provider Business Mailing Address
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Address Line | 2745 JARRETT DR
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City | SCHERERVILLE
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State | IN
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Zip | 46375-4302
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Country | US
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Telephone | 219-256-4141
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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 | 178.019681
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License Number State | IL
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