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General NPI Number Information
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NPI Number | 1730985961
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Entity Type | Organization
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Legal Business Name | PHOENIX BILINGUAL SERVICES PLLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 12545 FARM HILL DR STE E
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City | HUNTLEY
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State | IL
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Zip | 60142-7913
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Country | US
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Telephone | 815-575-8914
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Fax |
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Provider Business Mailing Address
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Address Line | 580 PRAIRIE RIDGE DR
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City | WOODSTOCK
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State | IL
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Zip | 60098-6301
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Country | US
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Telephone | 815-575-8914
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Fax |
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Authorized Official
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Title or Position | OWNER/ LEAD COUNSELOR
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Name | CARLOS JORGE ACOSTA
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Credential | LCSW
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Telephone | 815-575-8914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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