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General NPI Number Information
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NPI Number | 1265513733
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Entity Type | Organization
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Legal Business Name | FRANCIS A. SASSETTI, PSYD. P.C.
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 09/16/2011
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Provider Practice Location Address
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Address Line | 30 N MICHIGAN AVE 1604
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City | CHICAGO
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State | IL
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Zip | 60602-3402
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Country | US
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Telephone | 312-629-0018
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Fax | 312-629-1178
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Provider Business Mailing Address
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Address Line | 30 N MICHIGAN AVE 1604
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City | CHICAGO
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State | IL
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Zip | 60602-3402
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Country | US
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Telephone | 312-629-0018
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Fax | 312-629-1178
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. FRANCIS A SASSETTI
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Credential | PSYD
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Telephone | 312-629-0018
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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 | 071-005221
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License Number State | IL
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