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General NPI Number Information
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NPI Number | 1730409368
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Entity Type | Individual
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Provider Name | STEVEN GASKELL PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2010
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Last Update Date | 06/05/2010
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Provider Practice Location Address
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Address Line | 2135 CITY GATE LN SUITE 300
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City | NAPERVILLE
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State | IL
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Zip | 60563-3081
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Country | US
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Telephone | 630-780-1085
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Fax |
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Provider Business Mailing Address
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Address Line | 13400 S ROUTE 59 SUITE 116, #286
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City | PLAINFIELD
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State | IL
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Zip | 60585-5826
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Country | US
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Telephone | 630-903-9193
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071.006877
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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 | 071.006877
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 071.006877
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 071.006877
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License Number State | IL
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