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General NPI Number Information
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NPI Number | 1831213347
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Entity Type | Individual
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Provider Name | PETER P. LOCASCIO LCPC
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/21/2009
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Provider Practice Location Address
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Address Line | 510 S BATAVIA AVE STE 102
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City | BATAVIA
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State | IL
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Zip | 60510-2902
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Country | US
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Telephone | 630-901-3237
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Fax |
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Provider Business Mailing Address
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Address Line | 1506 DIVISION ST
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City | ST CHARLES
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State | IL
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Zip | 60174-4586
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Country | US
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Telephone | 630-901-3237
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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 | 180.004559
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License Number State | IL
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