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General NPI Number Information
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NPI Number | 1750195277
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Entity Type | Individual
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Provider Name | AMANDA MICHELLE KUNA PAVELA LPC
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Gender | Female
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 1701 E WOODFIELD RD STE 330
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City | SCHAUMBURG
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State | IL
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Zip | 60173-5128
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Country | US
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Telephone | 847-592-5588
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Fax |
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Provider Business Mailing Address
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Address Line | 200 E CHICAGO AVE STE 20
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City | WESTMONT
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State | IL
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Zip | 60559-1756
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Country | US
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Telephone | 630-481-4101
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178.021139
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 1858465
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License Number State | IL
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