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General NPI Number Information
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NPI Number | 1588744551
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Entity Type | Individual
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Provider Name | JODI NORDMANN HARAP PHD
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Gender | Female
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 1101 31ST ST STE 105
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-5535
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Country | US
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Telephone | 630-206-0272
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Fax | 630-598-9123
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Provider Business Mailing Address
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Address Line | 1701 E. WOODFIELD ROAD SUITE 1000
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City | SCHAUMBURG
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State | IL
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Zip | 60173-5113
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Country | US
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Telephone | 847-240-2211
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Fax | 847-240-2418
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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 | 071-006188
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License Number State | IL
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