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General NPI Number Information
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NPI Number | 1679862056
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Entity Type | Individual
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Provider Name | VALERIE MICHELE WECK PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 204 W HIGHLAND AVE
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City | ROBINSON
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State | IL
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Zip | 62454-1710
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Country | US
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Telephone | 812-269-2306
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Fax | 812-602-0078
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Provider Business Mailing Address
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Address Line | PO BOX 854
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City | ROBINSON
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State | IL
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Zip | 62454-0854
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Country | US
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Telephone | 812-269-2306
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Fax | 812-602-0078
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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 | 20042457A
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License Number State | IN
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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 | 071008098
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License Number State | IL
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