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General NPI Number Information
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NPI Number | 1326209040
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Entity Type | Individual
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Provider Name | VINH DANG
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Gender | Male
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 134 E VAN BUREN ST
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City | JOLIET
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State | IL
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Zip | 60432-4218
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Country | US
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Telephone | 815-727-3627
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Fax |
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Provider Business Mailing Address
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Address Line | 6074 N TROY ST
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City | CHICAGO
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State | IL
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Zip | 60659-2413
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Country | US
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Telephone | 773-225-6588
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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