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General NPI Number Information
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NPI Number | 1477861250
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Entity Type | Individual
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Provider Name | ALEXANDER J PARET PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 01/18/2013
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Provider Practice Location Address
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Address Line | 5250 OLD ORCHARD RD STE 300
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City | SKOKIE
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State | IL
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Zip | 60077-4460
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Country | US
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Telephone | 847-904-2299
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Fax | 847-834-0087
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Provider Business Mailing Address
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Address Line | 801 GLENDALE RD
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City | GLENVIEW
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State | IL
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Zip | 60025-4005
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Country | US
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Telephone | 847-904-2299
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Fax | 847-834-0087
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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 | 1139
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071008152
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License Number State | IL
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