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General NPI Number Information
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NPI Number | 1700508561
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Entity Type | Individual
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Provider Name | KASIA PIECZARA LSW
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Gender | Female
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Dates
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Enumeration Date | 09/16/2022
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 4849 N MILWAUKEE AVE STE 503
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City | CHICAGO
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State | IL
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Zip | 60630-2191
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Country | US
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Telephone | 773-492-0913
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Fax |
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Provider Business Mailing Address
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Address Line | 345 E WACKER DR UNIT 3703
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City | CHICAGO
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State | IL
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Zip | 60601-5273
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Country | US
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Telephone | 224-201-8400
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150108799
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License Number State | IL
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