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General NPI Number Information
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NPI Number | 1164555355
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Entity Type | Individual
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Provider Name | DONALD ROBERT MCDEVITT LCPC
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Gender | Male
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 122 S MICHIGAN AVE SUITE 1429
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City | CHICAGO
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State | IL
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Zip | 60603-6191
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Country | US
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Telephone | 312-583-1780
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Fax |
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Provider Business Mailing Address
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Address Line | 3140 N SHEFFIELD AVE APT 704
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City | CHICAGO
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State | IL
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Zip | 60657-9392
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Country | US
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Telephone | 773-281-0165
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180000246
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License Number State | IL
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