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General NPI Number Information
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NPI Number | 1710120837
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Entity Type | Individual
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Provider Name | PAMELA FRANCES PREDMORE L.C.P.C.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2009
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Last Update Date | 04/20/2009
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Provider Practice Location Address
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Address Line | ECKER CENTER 1845 GRANDSTAND
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City | ELGIN
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State | IL
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Zip | 60120
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Country | US
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Telephone | 847-429-8786
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Fax |
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Provider Business Mailing Address
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Address Line | 17219 MILLSTONE CT
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City | MARENGO
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State | IL
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Zip | 60152-8129
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Country | US
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Telephone | 815-923-4743
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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 | 1800003657
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 180-003657
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License Number State | IL
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