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General NPI Number Information
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NPI Number | 1972686830
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Entity Type | Individual
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Provider Name | DINA LYNN SCOLAN LCPC
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 5509 BELMONT RD SUITE 1E
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-4473
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Country | US
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Telephone | 630-222-1794
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Fax |
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Provider Business Mailing Address
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Address Line | 6567 BERRYWOOD DR
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-3034
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Country | US
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Telephone | 630-222-1794
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3477
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1746
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180.002298
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License Number State | IL
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