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General NPI Number Information
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NPI Number | 1598246274
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Entity Type | Organization
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Legal Business Name | LINDSAY L DOYLE
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 08/22/2018
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Provider Practice Location Address
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Address Line | 5208 N CLARK ST APT 3
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City | CHICAGO
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State | IL
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Zip | 60640-2289
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Country | US
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Telephone | 908-246-9735
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Fax |
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Provider Business Mailing Address
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Address Line | 5208 N CLARK ST APT 3
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City | CHICAGO
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State | IL
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Zip | 60640-2289
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Country | US
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Telephone | 908-246-9735
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDSAY DOYLE
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Credential |
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Telephone | 908-246-9735
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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 | 071008964
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License Number State | IL
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