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General NPI Number Information
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NPI Number | 1588114490
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Entity Type | Individual
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Provider Name | KATHRYN E LAWTON PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/04/2016
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Last Update Date | 11/20/2018
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Provider Practice Location Address
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Address Line | 1747 W ROOSEVELT RD STE 160
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City | CHICAGO
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State | IL
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Zip | 60608-1264
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Country | US
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Telephone | 312-413-2985
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Fax |
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Provider Business Mailing Address
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Address Line | 455 W GRANT PL #13
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City | CHICAGO
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State | IL
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Zip | 60614-3845
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Country | US
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Telephone | 630-886-3608
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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 | 071009371
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 071009371
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License Number State | IL
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