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General NPI Number Information
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NPI Number | 1649800244
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Entity Type | Individual
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Provider Name | SANDRA PATRICIA DUNN M.S. ED, LCPC
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Gender | Female
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 01/25/2025
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Provider Practice Location Address
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Address Line | 2124 OGDEN AVE STE 301
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City | AURORA
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State | IL
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Zip | 60504-7542
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Country | US
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Telephone | 630-392-4717
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Fax |
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Provider Business Mailing Address
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Address Line | 6S331 4TH ST
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City | EOLA
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State | IL
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Zip | 60519-2003
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Country | US
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Telephone | 630-392-4714
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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 | 180015665
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.015665
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License Number State | IL
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