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General NPI Number Information
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NPI Number | 1720315773
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Entity Type | Individual
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Provider Name | KATHERINE JONESCO LOWER LCPC, BC-DMT
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Gender | Female
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Dates
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Enumeration Date | 11/12/2009
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Last Update Date | 06/04/2013
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Provider Practice Location Address
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Address Line | 3020 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60657-4208
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Country | US
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Telephone | 773-281-8130
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Fax | 773-281-7150
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Provider Business Mailing Address
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Address Line | 3141 N SEMINARY AVE 3
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City | CHICAGO
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State | IL
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Zip | 60657-3308
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Country | US
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Telephone | 773-558-7237
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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 | 225600000X
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Taxonomy Name | Dance Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.008238
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License Number State | IL
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