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General NPI Number Information
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NPI Number | 1578548608
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Entity Type | Organization
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Legal Business Name | NEUROPSYCHOLOGICAL ASSOCIATES, P.C.
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 16001 S 108TH AVE SUITE 2
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City | ORLAND PARK
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State | IL
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Zip | 60467
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Country | US
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Telephone | 708-403-9000
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Fax | 708-403-9988
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Provider Business Mailing Address
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Address Line | 7300 W COLLEGE DR SUITE 101
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1152
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Country | US
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Telephone | 708-448-8470
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Fax | 708-448-8470
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD ALLAN MARKIN
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Credential | PHD
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Telephone | 847-702-6499
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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 | 071 001225
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License Number State | IL
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