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General NPI Number Information
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NPI Number | 1487760542
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Entity Type | Organization
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Legal Business Name | TMS PSYCHOLOGICAL SERVICES PC
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 06/08/2012
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Provider Practice Location Address
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Address Line | 15 SPINNING WHEEL RD SUITE 426
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City | HINSDALE
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State | IL
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Zip | 60521-2914
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Country | US
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Telephone | 630-323-3050
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Fax | 630-323-3058
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Provider Business Mailing Address
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Address Line | 15 SPINNING WHEEL RD SUITE 426
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City | HINSDALE
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State | IL
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Zip | 60521-2914
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Country | US
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Telephone | 630-323-3050
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Fax | 630-323-3058
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Authorized Official
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Title or Position | OWNER
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Name | THERESA M SCHULTZ
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Credential | PHD
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Telephone | 630-323-3050
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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 | 071006648
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License Number State | IL
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