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General NPI Number Information
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NPI Number | 1386734440
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Entity Type | Individual
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Provider Name | LYNNE I. WAGNER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 676 N SAINT CLAIR ST SUITE 200
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City | CHICAGO
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State | IL
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Zip | 60611-2927
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Country | US
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Telephone | 312-695-6946
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Fax | 312-695-4307
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Provider Business Mailing Address
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Address Line | 1960 N LINCOLN PARK W UNIT 1310
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City | CHICAGO
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State | IL
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Zip | 60614-5487
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Country | US
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Telephone | 312-695-6946
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Fax | 312-695-4307
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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 |
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License Number State | IL
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