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General NPI Number Information
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NPI Number | 1467505503
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Entity Type | Organization
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Legal Business Name | ROBERT A. WATSON, PSY.D., L.L.C.
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Dates
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Enumeration Date | 01/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3100 W HIGGINS RD SUITE 195
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60195-5251
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Country | US
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Telephone | 847-275-7706
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Fax | 847-310-8600
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Provider Business Mailing Address
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Address Line | 3100 W HIGGINS RD SUITE 195
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60195-5251
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Country | US
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Telephone | 847-275-7706
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Fax | 847-310-8600
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ROBERT A WATSON
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Credential | PSY.D.
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Telephone | 847-275-7706
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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 | 71004730
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License Number State | IL
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