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General NPI Number Information
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NPI Number | 1568986669
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Entity Type | Organization
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Legal Business Name | ANNE M NATHAN PSYD LLC
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 175 OLDE HALF DAY RD STE 210
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069-3063
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Country | US
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Telephone | 847-544-9006
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Fax |
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Provider Business Mailing Address
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Address Line | 175 OLDE HALF DAY RD STE 210
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069-3063
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Country | US
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Telephone | 847-544-9006
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNE M. NATHAN
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Credential |
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Telephone | 847-544-9006
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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 | 071007361
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License Number State | IL
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