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General NPI Number Information
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NPI Number | 1255962148
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Entity Type | Individual
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Provider Name | JOSEPH SMETTER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/29/2020
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 1819 W LELAND AVE APT 3
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City | CHICAGO
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State | IL
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Zip | 60640-4369
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Country | US
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Telephone | 312-442-0337
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Fax |
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Provider Business Mailing Address
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Address Line | 1819 W LELAND AVE APT 3
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City | CHICAGO
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State | IL
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Zip | 60640-4369
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Country | US
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Telephone | 312-533-0236
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3891-57
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License Number State | WI
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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 | 071011126
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License Number State | IL
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