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General NPI Number Information
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NPI Number | 1386134898
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Entity Type | Organization
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Legal Business Name | VETERAN INNOVATION LLC
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Dates
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Enumeration Date | 05/10/2018
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Last Update Date | 05/10/2018
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Provider Practice Location Address
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Address Line | 1333 BURR RIDGE PKWY STE 200
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City | BURR RIDGE
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State | IL
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Zip | 60527-0833
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Country | US
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Telephone | 630-337-8006
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Fax |
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Provider Business Mailing Address
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Address Line | 1333 BURR RIDGE PKWY STE 200
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City | BURR RIDGE
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State | IL
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Zip | 60527-0833
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Country | US
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Telephone | 630-337-8006
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. ANDREA MICHELLE GRAVES
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Credential | PSY.D.
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Telephone | 202-299-6991
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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 | 071008620
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License Number State | IL
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