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General NPI Number Information
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NPI Number | 1770478299
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Entity Type | Organization
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Legal Business Name | BLOOM & BALANCE, PLLC
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 5940 W TOUHY AVE STE 310A
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City | NILES
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State | IL
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Zip | 60714-4604
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Country | US
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Telephone | 773-389-1477
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Fax |
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Provider Business Mailing Address
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Address Line | 1034 FORTUNA AVE
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City | PARK RIDGE
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State | IL
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Zip | 60068-1814
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LCSW & OWNER
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Name | REBECCA POWERS
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Credential | LCSW
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Telephone | 773-340-2819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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