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General NPI Number Information
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NPI Number | 1003259227
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Entity Type | Individual
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Provider Name | MICHELLE T FRANK PSY.D.
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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 | 04/08/2013
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Provider Practice Location Address
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Address Line | 1448 N MILWAUKEE AVE SUITE 201
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City | CHICAGO
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State | IL
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Zip | 60622-9225
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Country | US
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Telephone | 773-486-4617
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Fax | 773-486-4936
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Provider Business Mailing Address
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Address Line | 14953 S VAN DYKE RD
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City | PLAINFIELD
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State | IL
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Zip | 60544-5804
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Country | US
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Telephone | 815-609-1544
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Fax | 815-609-1670
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071008579
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License Number State | IL
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