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General NPI Number Information
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NPI Number | 1659930956
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Entity Type | Individual
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Provider Name | MARGARET L LOY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2019
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Last Update Date | 10/20/2021
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Provider Practice Location Address
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Address Line | 5906 ELAINE DR STE 109
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City | ROCKFORD
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State | IL
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Zip | 61108-2467
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Country | US
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Telephone | 815-520-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 719 COPPER DR
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City | MACHESNEY PARK
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State | IL
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Zip | 61115-2119
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Country | US
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Telephone | 630-577-7903
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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 | 071.009854
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License Number State | IL
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