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General NPI Number Information
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NPI Number | 1821557307
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Entity Type | Organization
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Legal Business Name | SPOKEN BALANCE
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Dates
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Enumeration Date | 03/14/2019
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Last Update Date | 09/05/2022
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Provider Practice Location Address
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Address Line | 111 W JACKSON BLVD STE 1700
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City | CHICAGO
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State | IL
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Zip | 60604-3597
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Country | US
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Telephone | 312-775-2045
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Fax | 773-938-8512
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Provider Business Mailing Address
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Address Line | 175 CAPITAL BLVD FL 4
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City | ROCKY HILL
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State | CT
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Zip | 06067-3914
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Country | US
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Telephone | 312-775-2045
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Fax | 773-938-8512
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Authorized Official
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Title or Position | LCSW
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Name | MEGAN SALISBURY
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Credential |
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Telephone | 312-775-2045
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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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