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General NPI Number Information
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NPI Number | 1720337744
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Entity Type | Individual
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Provider Name | VICTORIA K SACCHETTI LSW
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Gender | Female
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 11/12/2013
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Provider Practice Location Address
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Address Line | 522 CHESTNUT ST SUITE 2D
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City | HINSDALE
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State | IL
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Zip | 60521-3171
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Country | US
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Telephone | 630-214-0476
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Fax |
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Provider Business Mailing Address
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Address Line | 3227 N CLIFTON AVE UNIT 3
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City | CHICAGO
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State | IL
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Zip | 60657-3318
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Country | US
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Telephone | 847-987-8679
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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 | 20-466905
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License Number State | IL
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