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General NPI Number Information
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NPI Number | 1336561455
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Entity Type | Organization
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Legal Business Name | BELCHER & ASSOCIATES, PC
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Dates
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Enumeration Date | 01/08/2014
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Last Update Date | 07/01/2019
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Provider Practice Location Address
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Address Line | 4646 N MARINE DR STE 5500A
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City | CHICAGO
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State | IL
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Zip | 60640-5759
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Country | US
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Telephone | 773-610-5778
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Fax |
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Provider Business Mailing Address
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Address Line | 7264 N ROGERS AVE
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City | CHICAGO
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State | IL
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Zip | 60645-2414
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Country | US
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Telephone | 773-610-5778
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WHITNEY BELCHER
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Credential | PSYD
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Telephone | 773-610-5778
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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 | 071006583
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License Number State | IL
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