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General NPI Number Information
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NPI Number | 1659556611
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Entity Type | Individual
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Provider Name | JEFF J STAHL LCPC
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Gender | Male
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 03/15/2018
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Provider Practice Location Address
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Address Line | 223 W JACKSON BLVD STE 360
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City | CHICAGO
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State | IL
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Zip | 60606-6974
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Country | US
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Telephone | 312-636-7516
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Fax |
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Provider Business Mailing Address
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Address Line | 223 W JACKSON BLVD STE 360
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City | CHICAGO
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State | IL
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Zip | 60606-6974
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Country | US
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Telephone | 312-636-7516
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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 | 180.006747
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License Number State | IL
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