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General NPI Number Information
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NPI Number | 1790869493
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Entity Type | Individual
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Provider Name | MARGIT E KIR-STIMON PHD
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 2025 SHERMAN AVE
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City | EVANSTON
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State | IL
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Zip | 60201-3280
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Country | US
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Telephone | 773-405-5573
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Fax |
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Provider Business Mailing Address
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Address Line | 636 CHURCH ST STE 422
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City | EVANSTON
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State | IL
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Zip | 60201-4580
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Country | US
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Telephone | 773-405-5573
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071003910
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License Number State | IL
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