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General NPI Number Information
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NPI Number | 1669583357
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Entity Type | Individual
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Provider Name | JOEL STEPHAN RICHMAN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 2300 BARRINGTON RD SUITE 487
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-2082
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Country | US
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Telephone | 847-800-4412
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Fax | 847-446-7984
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Provider Business Mailing Address
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Address Line | 1083 ELM ST
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City | WINNETKA
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State | IL
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Zip | 60093-2166
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Country | US
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Telephone | 847-800-4412
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Fax | 847-446-7984
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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 | 071-001934
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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 | 0767
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License Number State | NC
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