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General NPI Number Information
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NPI Number | 1265671044
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Entity Type | Organization
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Legal Business Name | APRIL L. CARBONE, PH.D., LLC
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 02/17/2015
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Provider Practice Location Address
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Address Line | 980 N MICHIGAN AVE SUITE 1190
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City | CHICAGO
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State | IL
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Zip | 60611-4501
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Country | US
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Telephone | 312-219-8454
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Fax | 312-291-8455
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Provider Business Mailing Address
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Address Line | 980 N MICHIGAN AVE SUITE 1190
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City | CHICAGO
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State | IL
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Zip | 60611-4501
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Country | US
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Telephone | 312-291-8454
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Fax | 312-291-8455
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Authorized Official
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Title or Position | MANAGING MEMBER/ PSYCHOLOGIST
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Name | DR. APRIL LYNN CARBONE
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Credential | PH.D.
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Telephone | 312-291-8454
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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 | 071.007603
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License Number State | IL
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