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General NPI Number Information
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NPI Number | 1629888359
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Entity Type | Organization
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Legal Business Name | DR MARJORIE NEWMAN LLC
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 910 SKOKIE BLVD STE 201
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City | NORTHBROOK
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State | IL
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Zip | 60062-4033
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Country | US
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Telephone | 212-920-6357
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Fax |
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Provider Business Mailing Address
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Address Line | 871 LONGWOOD DR
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City | LAKE FOREST
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State | IL
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Zip | 60045-4056
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Country | US
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Telephone | 212-920-6357
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARJORIE NEWMAN
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Credential |
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Telephone | 212-920-6357
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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 |
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License Number State |
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