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General NPI Number Information
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NPI Number | 1699749416
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Entity Type | Organization
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Legal Business Name | ISENBERG AND ASSOCIATES
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 236 S WASHINGTON ST SUITE 200
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City | NAPERVILLE
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State | IL
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Zip | 60540-5371
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Country | US
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Telephone | 630-355-8410
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Fax | 630-355-8412
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Provider Business Mailing Address
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Address Line | 236 S WASHINGTON ST SUITE 200
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City | NAPERVILLE
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State | IL
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Zip | 60540-5371
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Country | US
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Telephone | 630-355-8410
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Fax | 630-355-8412
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEFFREY LARSON
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Credential | LCSW
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Telephone | 630-355-8410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149000660
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License Number State | IL
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