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General NPI Number Information
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NPI Number | 1598886574
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Entity Type | Organization
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Legal Business Name | FRANCENTER
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | 1510 PLAINFIELD RD STE 1
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City | DARIEN
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State | IL
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Zip | 60561-4919
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Country | US
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Telephone | 630-541-8162
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Fax | 630-541-6543
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Provider Business Mailing Address
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Address Line | 1510 PLAINFIELD RD SUITE 1
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City | DARIEN
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State | IL
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Zip | 60561-4907
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Country | US
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Telephone | 630-541-8162
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Fax | 630-541-6543
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. ROBERT E MARCIANTE
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Credential | ED.D.
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Telephone | 630-541-8162
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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 | 071-003240
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License Number State | IL
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