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General NPI Number Information
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NPI Number | 1336525575
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Entity Type | Individual
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Provider Name | KAREN O'KEEFFE PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 2141 FIELDCREST DR
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City | MUNDELEIN
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State | IL
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Zip | 60060-5349
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Country | US
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Telephone | 847-566-6140
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Fax |
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Provider Business Mailing Address
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Address Line | 1331 ESTES ST
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City | GURNEE
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State | IL
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Zip | 60031-2242
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Country | US
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Telephone |
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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 | 071.005068
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License Number State | IL
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