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General NPI Number Information
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NPI Number | 1093007296
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Entity Type | Organization
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Legal Business Name | NORWIL C FRIAL & ASSOCIATES LTD
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Dates
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Enumeration Date | 05/05/2011
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 2530 CRAWFORD AVE SUITE 206
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City | EVANSTON
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State | IL
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Zip | 60201-4970
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Country | US
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Telephone | 312-339-6208
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Fax |
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Provider Business Mailing Address
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Address Line | 2530 CRAWFORD AVENUE SUITE 206
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City | EVANSTON
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State | IL
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Zip | 60201-4959
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Country | US
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Telephone | 312-339-6208
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NORWIL C FRIAL
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Credential | PSY.D.
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Telephone | 312-339-6208
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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 | 060009379
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License Number State | IL
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