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General NPI Number Information
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NPI Number | 1134677255
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Entity Type | Organization
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Legal Business Name | LAUREN LUND PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 09/18/2016
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Last Update Date | 09/18/2016
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Provider Practice Location Address
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Address Line | 800 E NORTHWEST HWY SUITE 303
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City | PALATINE
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State | IL
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Zip | 60074-6519
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Country | US
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Telephone | 773-339-3944
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Fax |
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Provider Business Mailing Address
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Address Line | 795 INTERLAKEN DR
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City | LAKE ZURICH
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State | IL
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Zip | 60047-1335
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Country | US
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Telephone | 773-339-3944
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL PSYCHOLOGIST
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Name | DR. LAUREN MCARDLE
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Credential |
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Telephone | 773-339-3944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 071008758
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License Number State | IL
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