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General NPI Number Information
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NPI Number | 1396806030
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Entity Type | Individual
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Provider Name | JOSEPH EDWARD COMATY PH.D., M.P.
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 1451 CALAIS CIR
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-3920
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Country | US
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Telephone | 225-936-5458
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Fax |
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Provider Business Mailing Address
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Address Line | 1451 CALAIS CIR
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-3920
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Country | US
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Telephone | 225-936-5458
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071.010829
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 682
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 682
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 071.010829
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 682
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License Number State | LA
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Taxonomy #6
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number | 682MP
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License Number State | LA
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