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General NPI Number Information
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NPI Number | 1740462597
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC PERSPECTIVES
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 1650 MOON LAKE BLVD
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-1010
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Country | US
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Telephone | 847-705-7882
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1457
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City | PALATINE
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State | IL
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Zip | 60078-1457
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Country | US
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Telephone | 847-705-7882
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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. RENATO DELOSSANTOS
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Credential |
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Telephone | 847-705-7882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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