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General NPI Number Information
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NPI Number | 1649306176
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Entity Type | Organization
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Legal Business Name | M. MARK MCKEE, PSY.D. & ASSOCIATES, PC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/30/2007
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Provider Practice Location Address
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Address Line | 1754 N WASHINGTON ST SUITE104A
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City | NAPERVILLE
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State | IL
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Zip | 60563-1334
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Country | US
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Telephone | 630-245-1440
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Fax | 630-245-1444
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Provider Business Mailing Address
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Address Line | 1754 N WASHINGTON ST SUITE104A
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City | NAPERVILLE
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State | IL
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Zip | 60563-1334
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. M. MARK MCKEE
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Credential | PSY.D.
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Telephone | 630-245-1440
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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 | IL
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Taxonomy #2
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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 | IL
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Taxonomy #3
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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 | IL
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Taxonomy #4
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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 | IL
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Taxonomy #5
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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 | IL
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