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General NPI Number Information
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NPI Number | 1609764190
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Entity Type | Individual
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Provider Name | CHESHIRE HARDCASTLE PH.D
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Gender | Female
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 5841 S MARYLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60637-1443
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Country | US
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Telephone | 773-702-3858
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Fax |
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Provider Business Mailing Address
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Address Line | 801 S WELLS ST APT 910
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City | CHICAGO
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State | IL
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Zip | 60607-4590
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Country | US
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Telephone | 513-525-7423
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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 | 071011332
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 071011332
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License Number State | IL
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