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General NPI Number Information
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NPI Number | 1467524918
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Entity Type | Individual
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Provider Name | CHERRY DEE WEBER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 10/23/2020
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Provider Practice Location Address
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Address Line | 80 DUNHAM PL
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City | SAINT CHARLES
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State | IL
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Zip | 60174-5701
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Country | US
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Telephone | 630-587-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 303 N 2ND ST STE 22
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City | SAINT CHARLES
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State | IL
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Zip | 60174-1804
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Country | US
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Telephone | 630-587-3311
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071003068
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License Number State | IL
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