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General NPI Number Information
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NPI Number | 1740430461
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Entity Type | Organization
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Legal Business Name | MCDOUGALD & ASSOCIATES LTD
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 01/25/2012
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Provider Practice Location Address
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Address Line | 426 NEWPORT DR
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City | NAPERVILLE
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State | IL
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Zip | 60565-3116
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Country | US
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Telephone | 630-414-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 28W461 JUANITA DR
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City | NAPERVILLE
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State | IL
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Zip | 60564-9665
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Country | US
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Telephone | 630-414-1050
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DON F ZEIDLHACK
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Credential | PSY.D.
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Telephone | 630-414-1050
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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 | 071006860
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License Number State | IL
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