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General NPI Number Information
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NPI Number | 1932223963
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Entity Type | Individual
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Provider Name | KAMA JOY SCHULTE M.A., L.C.P.C.
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 561 W DIVERSEY PKWY STE 209
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City | CHICAGO
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State | IL
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Zip | 60614-1682
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Country | US
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Telephone | 773-480-8579
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 577692
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City | CHICAGO
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State | IL
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Zip | 60657-7692
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Country | US
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Telephone | 773-480-8579
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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 | 180001327
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License Number State | IL
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