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General NPI Number Information
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NPI Number | 1356929673
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Entity Type | Organization
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Legal Business Name | NEW FOUNDATIONS PSYCHOLOGICAL AND FAMILY SERVICES, P.C.
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Dates
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Enumeration Date | 03/30/2021
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 4305 N LINCOLN AVE STE O
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City | CHICAGO
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State | IL
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Zip | 60618-1807
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Country | US
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Telephone | 773-505-1733
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Fax | 866-567-3038
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Provider Business Mailing Address
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Address Line | 4305 N LINCOLN AVE STE O
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City | CHICAGO
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State | IL
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Zip | 60618-1807
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Country | US
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Telephone | 773-505-1733
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Fax | 866-567-3038
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/OWNER
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Name | DR. NICHOLE M AUMANN
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Credential | PSYD, LCPC
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Telephone | 773-505-1733
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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 |
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License Number State |
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