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General NPI Number Information
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NPI Number | 1265041909
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Entity Type | Organization
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Legal Business Name | KATE HINKLE PSYD LLC
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Dates
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Enumeration Date | 07/29/2020
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Last Update Date | 07/29/2020
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Provider Practice Location Address
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Address Line | 1823 BREASTED AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-2441
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Country | US
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Telephone | 847-800-6446
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Fax |
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Provider Business Mailing Address
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Address Line | 1823 BREASTED AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-2441
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Country | US
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Telephone | 847-800-6446
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. KATE HINKLE
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Credential | PSYD
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Telephone | 847-800-6446
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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 |
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License Number State |
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