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General NPI Number Information
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NPI Number | 1477840304
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Entity Type | Organization
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Legal Business Name | GARY DEC AND ASSOCIATES, LLC
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Dates
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Enumeration Date | 06/29/2011
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 1S115 GARDENER WAY
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City | WINFIELD
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State | IL
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Zip | 60190-2802
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Country | US
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Telephone | 630-470-0237
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Fax |
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Provider Business Mailing Address
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Address Line | 1S115 GARDENER WAY
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City | WINFIELD
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State | IL
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Zip | 60190-2802
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Country | US
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Telephone | 630-470-0237
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. GARY R DEC
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Credential | PSY.D.
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Telephone | 630-470-0237
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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 | IL 71-3329
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License Number State | IL
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