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General NPI Number Information
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NPI Number | 1689724460
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Entity Type | Organization
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Legal Business Name | ASSOCIATED PSYCHOLOGISTS
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 77 W WASHINGTON ST SUITE 1519
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City | CHICAGO
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State | IL
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Zip | 60602-2801
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Country | US
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Telephone | 312-630-1001
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Fax | 312-630-1342
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Provider Business Mailing Address
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Address Line | 77 W WASHINGTON ST SUITE 1519
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City | CHICAGO
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State | IL
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Zip | 60602-2801
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Country | US
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Telephone | 312-630-1001
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Fax | 312-630-1342
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. NAP POZULP
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Credential | PH. D.
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Telephone | 312-339-3708
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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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