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General NPI Number Information
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NPI Number | 1578686960
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Entity Type | Individual
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Provider Name | CATHLEEN MARIE MARGOLIN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 545 LINCOLN AVE SUITE 4
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City | WINNETKA
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State | IL
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Zip | 60093-2349
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Country | US
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Telephone | 847-508-7176
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Fax |
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Provider Business Mailing Address
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Address Line | 320 DELL LN
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-5311
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Country | US
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Telephone | 847-508-7176
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | IL
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