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General NPI Number Information
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NPI Number | 1982728671
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Entity Type | Individual
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Provider Name | TODD LEWIS SCHNEIDER LCSW
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 415 S CREEKSIDE DR STE 107
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City | PALATINE
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State | IL
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Zip | 60074-6529
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Country | US
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Telephone | 847-902-3081
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Fax |
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Provider Business Mailing Address
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Address Line | 3 SCHOBER COURT
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City | CARY
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State | IL
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Zip | 60013
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Country | US
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Telephone | 847-902-3081
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149008914
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License Number State | IL
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