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General NPI Number Information
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NPI Number | 1841993086
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Entity Type | Individual
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Provider Name | JESSICA CONTE
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Gender | Female
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 18161 MORRIS AVE
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City | HOMEWOOD
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State | IL
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Zip | 60430-2108
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Country | US
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Telephone | 708-798-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 1545 MAPLE AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-4523
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Country | US
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Telephone | 708-926-1316
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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 | 178016798
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License Number State | IL
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