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General NPI Number Information
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NPI Number | 1689168478
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Entity Type | Organization
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Legal Business Name | S- R&R COUNSELING INC.
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 08/03/2018
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Provider Practice Location Address
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Address Line | 9750 CRESCENT PARK CIR UNIT 306
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City | ORLAND PARK
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State | IL
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Zip | 60462
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Country | US
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Telephone | 773-852-0904
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Fax |
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Provider Business Mailing Address
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Address Line | 14213 WOODWARD DR
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City | ORLAND PARK
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State | IL
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Zip | 60462-2372
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | SUSAN RYAN-MICHALAK
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Credential |
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Telephone | 773-852-0904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 180.009374
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License Number State | IL
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