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General NPI Number Information
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NPI Number | 1417022807
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Entity Type | Organization
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Legal Business Name | FORENSIC EVALUATORS, INC.
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3333 WARRENVILLE RD SUITE
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City | LISLE
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State | IL
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Zip | 60532-1157
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Country | US
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Telephone | 630-715-6235
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Fax |
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Provider Business Mailing Address
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Address Line | 4N880 W MARY DR
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City | SAINT CHARLES
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State | IL
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Zip | 60175-7810
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Country | US
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Telephone | 630-715-6235
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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. LESLEY KANE
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Credential | PSY.D.
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Telephone | 630-715-6235
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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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