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General NPI Number Information
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NPI Number | 1912073685
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Entity Type | Organization
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Legal Business Name | BARBARA R MOLINE, MSW, LCSW. LTD.
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 7345 W 100TH PL SUITE 105
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City | BRIDGEVIEW
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State | IL
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Zip | 60455-2428
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Country | US
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Telephone | 708-599-2603
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Fax | 708-524-8504
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Provider Business Mailing Address
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Address Line | 7345 W 100TH PL SUITE 105
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City | BRIDGEVIEW
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State | IL
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Zip | 60455-2428
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Country | US
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Telephone | 708-599-2603
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Fax | 708-524-8504
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. BARBARA R MOLINE
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Credential | MSW
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Telephone | 708-599-2603
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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 | IL
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