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General NPI Number Information
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NPI Number | 1497946024
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Entity Type | Organization
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Legal Business Name | VIVIAN B SKOLNICK PHD PC
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 08/08/2007
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Provider Practice Location Address
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Address Line | 7033 N KEDZIE AVE
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City | CHICAGO
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State | IL
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Zip | 60645
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Country | US
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Telephone | 312-286-7755
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Fax | 773-338-3535
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Provider Business Mailing Address
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Address Line | 7033 N KEDZIE AVE
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City | CHICAGO
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State | IL
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Zip | 60645
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Country | US
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Telephone | 312-286-7755
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Fax | 773-338-3535
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Authorized Official
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Title or Position | PRESIDENT
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Name | VIVIAN B SKOLNICK
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Credential |
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Telephone | 312-286-7755
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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 |
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License Number State |
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