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General NPI Number Information
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NPI Number | 1922442110
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Entity Type | Organization
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Legal Business Name | TAMI KNELL LTD.
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 2919 CROSSING COURT SUITE 13
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City | CHAMPAIGN
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State | IL
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Zip | 61822-5903
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Country | US
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Telephone | 217-861-4063
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Fax | 217-864-8919
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Provider Business Mailing Address
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Address Line | P.O. BOX 17
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City | SAVOY
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State | IL
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Zip | 61874-0717
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Country | US
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Telephone | 217-861-4063
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Fax | 217-864-8919
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Authorized Official
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Title or Position | OWNER
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Name | TAMI NAMEY
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Credential | LCSW
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Telephone | 217-487-4522
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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 | 149011325
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License Number State | IL
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