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General NPI Number Information
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NPI Number | 1659141844
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Entity Type | Organization
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Legal Business Name | JAMES P POPP LTD
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 1 E NORTHWEST HWY STE 212
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City | PALATINE
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State | IL
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Zip | 60067-1700
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Country | US
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Telephone | 708-280-6538
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Fax | 847-705-6444
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Provider Business Mailing Address
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Address Line | 1519 N DRYDEN AVE
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-4031
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Country | US
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Telephone | 708-280-6538
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Fax | 847-705-6444
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Authorized Official
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Title or Position | VICE PRESIDENT/SECRETARY
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Name | MS. DEBRA ANN KOWALCZYK
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Credential | MA
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Telephone | 708-280-6538
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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 |
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License Number State |
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