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NPI 1972485993

NPI 1972485993 : KAROLINA SCISLOWICZ : OAK LAWN, IL

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General NPI Number Information
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    NPI Number           |    1972485993
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    Entity Type          |    Individual 
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    Provider Name        |    KAROLINA SCISLOWICZ
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/22/2025
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    Last Update Date     |    07/22/2025
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Provider Practice Location Address
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    Address Line         |    4954 W 95TH ST 
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    City                 |    OAK LAWN
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    State                |    IL
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    Zip                  |    60453-2504
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    Country              |    US
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    Telephone            |    855-528-8476
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9110 BARBERRY LN 
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    City                 |    HICKORY HILLS
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    State                |    IL
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    Zip                  |    60457-1214
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    Country              |    US
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    Telephone            |    708-378-0373
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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