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General NPI Number Information
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NPI Number | 1568277846
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Entity Type | Organization
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Legal Business Name | ALIGNED PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 922 DAVIS ST.
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City | EVANSTON
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State | IL
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Zip | 60201
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Country | US
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Telephone | 312-834-4785
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Fax |
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Provider Business Mailing Address
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Address Line | 4610 N CLARK ST STE 1278
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City | CHICAGO
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State | IL
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Zip | 60640-4620
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | TIFFANY EDWARDS
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Credential | PHD, MPH
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Telephone | 312-834-4785
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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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