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General NPI Number Information
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NPI Number | 1689990699
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Entity Type | Organization
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Legal Business Name | BUDZYNSKI COUNSELING SERVICES INC.
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Dates
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Enumeration Date | 04/15/2010
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Last Update Date | 04/15/2010
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Provider Practice Location Address
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Address Line | 7124 WINDSOR LAKE PKWY SUITE # 10
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City | LOVES PARK
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State | IL
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Zip | 61111-3800
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Country | US
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Telephone | 815-633-8688
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Fax | 815-633-8299
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Provider Business Mailing Address
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Address Line | 7124 WINDSOR LAKE PKWY SUITE # 10
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City | LOVES PARK
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State | IL
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Zip | 61111-3800
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Country | US
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Telephone | 815-633-8688
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Fax | 815-633-8299
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MR. JOHN ANDREW BUDZYNSKI
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Credential | L.C.P.C.
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Telephone | 815-633-8688
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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 |
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License Number State |
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