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General NPI Number Information
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NPI Number | 1891682043
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Entity Type | Individual
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Provider Name | CAROLINE BULLINGTON LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 700 REGENT ST STE 300
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City | MADISON
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State | WI
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Zip | 53715-2634
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Country | US
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Telephone | 608-467-4465
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Fax |
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Provider Business Mailing Address
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Address Line | 1305 HALIFAX DR
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City | MUNDELEIN
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State | IL
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Zip | 60060-1045
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Country | US
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Telephone | 224-633-6712
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149027972
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12370-123
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License Number State | WI
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