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General NPI Number Information
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NPI Number | 1689866337
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Entity Type | Organization
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Legal Business Name | HOWARD N. TUSHMAN, M.D., S.C.
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 08/16/2007
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Provider Practice Location Address
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Address Line | 2530 RIDGE AVE SUITE 203
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City | EVANSTON
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State | IL
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Zip | 60201-2492
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Country | US
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Telephone | 847-869-6011
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Fax | 847-869-6075
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Provider Business Mailing Address
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Address Line | 2530 RIDGE AVE SUITE 203
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City | EVANSTON
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State | IL
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Zip | 60201-2492
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Country | US
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Telephone | 847-869-6011
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Fax | 847-869-6075
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOWARD NORMAN TUSHMAN
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Credential | M.D.
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Telephone | 847-869-6011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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