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General NPI Number Information
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NPI Number | 1841601259
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Entity Type | Individual
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Provider Name | ALISON BRENDEL LPC
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Gender | Female
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Dates
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Enumeration Date | 05/20/2014
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 104 NORTHTOWN RD
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City | SPARTA
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State | IL
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Zip | 62286-1081
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Country | US
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Telephone | 618-443-3045
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Fax | 618-282-6949
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Provider Business Mailing Address
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Address Line | 10257 STATE ROUTE 3
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City | RED BUD
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State | IL
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Zip | 62278-4418
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Country | US
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Telephone | 618-282-6233
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Fax | 618-282-6949
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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 | 178.008945
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License Number State | IL
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