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General NPI Number Information
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NPI Number | 1720242993
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Entity Type | Individual
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Provider Name | MARY KATHERINE NONE NIEPONSKI MA, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 33 E COLORADO AVE
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City | FRANKFORT
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State | IL
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Zip | 60423-1385
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Country | US
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Telephone | 708-262-7103
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Fax | 866-596-8149
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Provider Business Mailing Address
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Address Line | 16443 S PARKER RD
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City | HOMER GLEN
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State | IL
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Zip | 60491-9748
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Country | US
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Telephone | 708-262-7103
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Fax | 866-596-8149
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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 | 178.003184
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License Number State | IL
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