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General NPI Number Information
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NPI Number | 1982159984
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Entity Type | Individual
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Provider Name | MEGHAN MARIE SPELTZ M.ED., LCPC, CADC
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Gender | Female
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Dates
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Enumeration Date | 08/19/2016
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 2835 N SHEFFIELD AVE 226
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City | CHICAGO
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State | IL
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Zip | 60657-5081
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Country | US
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Telephone | 651-402-2004
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Fax |
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Provider Business Mailing Address
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Address Line | 2835 N SHEFFIELD AVE 226
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City | CHICAGO
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State | IL
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Zip | 60657-5081
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Country | US
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Telephone | 651-402-2004
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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 | 31728
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180010379
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License Number State | IL
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