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General NPI Number Information
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NPI Number | 1669230686
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Entity Type | Organization
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Legal Business Name | BALANCED PERSPECTIVE PSYCHOLOGICAL SERVICES INC
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Dates
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Enumeration Date | 03/13/2024
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 605 N MICHIGAN AVE STE 418
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City | CHICAGO
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State | IL
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Zip | 60611-3141
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Country | US
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Telephone | 815-997-3278
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Fax |
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Provider Business Mailing Address
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Address Line | 529 S SUMMIT ST
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City | BARRINGTON
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State | IL
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Zip | 60010-4413
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Country | US
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Telephone | 815-997-3278
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. HENRY M SEYBOLD
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Credential |
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Telephone | 815-997-3278
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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 |
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License Number State |
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