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General NPI Number Information
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NPI Number | 1932542131
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Entity Type | Individual
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Provider Name | PAULA P. MERUCCI LCSW, CADC
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Gender | Female
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Dates
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Enumeration Date | 04/08/2013
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 2530 CRAWFORD AVE STE 201
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City | EVANSTON
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State | IL
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Zip | 60201-4959
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Country | US
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Telephone | 847-962-2639
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 WELLINGTON CT
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City | EVANSTON
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State | IL
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Zip | 60201-4975
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Country | US
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Telephone | 847-962-2639
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 30166
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 149.017859
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License Number State | IL
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