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General NPI Number Information
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NPI Number | 1134432537
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Entity Type | Organization
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Legal Business Name | DANIEL SORKIN, PSY.D., LLC
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 06/10/2011
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Provider Practice Location Address
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Address Line | 430 NORTH MILWAUKEE AVENUE SUITE 15
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069
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Country | US
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Telephone | 224-688-7798
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Fax |
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Provider Business Mailing Address
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Address Line | 430 NORTH MILWAUKEE AVENUE SUITE 15
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069
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Country | US
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Telephone | 224-688-7798
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. DANIEL J SORKIN
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Credential | PSY.D.
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Telephone | 224-688-7798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071007898
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License Number State | IL
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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 | 071007898
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License Number State | IL
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