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General NPI Number Information
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NPI Number | 1710623624
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Entity Type | Organization
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Legal Business Name | EMPATHY FIRST PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 2015 S ARLINGTON HEIGHTS RD STE 110
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-4150
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Country | US
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Telephone | 773-669-4422
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Fax |
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Provider Business Mailing Address
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Address Line | 739 S ROOSEVELT AVE
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-2747
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Country | US
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Telephone | 847-903-1707
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIANNE CORCORAN
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Credential | PSYD
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Telephone | 847-903-1707
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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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