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General NPI Number Information
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NPI Number | 1083841951
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Entity Type | Individual
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Provider Name | GURINDER BOLINA PHD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 08/08/2013
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Provider Practice Location Address
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Address Line | 175 E HAWTHORNE PKWY STE 235
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City | VERNON HILLS
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State | IL
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Zip | 60061-1463
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Country | US
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Telephone | 847-868-3435
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Fax | 847-859-5885
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Provider Business Mailing Address
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Address Line | 175 E HAWTHORNE PKWY STE 235
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City | VERNON HILLS
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State | IL
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Zip | 60061-1463
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Country | US
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Telephone | 847-868-3435
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Fax | 847-859-5885
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 04674
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071.008437
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License Number State | IL
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