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General NPI Number Information
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NPI Number | 1750131991
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Entity Type | Organization
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Legal Business Name | MARGARET PERRY LCSW PC
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Dates
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Enumeration Date | 03/22/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 311 W MAIN ST
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City | CARLINVILLE
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State | IL
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Zip | 62626-1732
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Country | US
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Telephone | 217-705-4550
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Fax | 217-705-4213
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Provider Business Mailing Address
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Address Line | PO BOX 26
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City | CARLINVILLE
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State | IL
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Zip | 62626-0026
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Country | US
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Telephone | 217-705-4550
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Fax | 217-705-4213
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Authorized Official
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Title or Position | OWNER
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Name | MARGARET PERRY
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Credential | LCSW
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Telephone | 217-556-6707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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