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General NPI Number Information
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NPI Number | 1790924678
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Entity Type | Organization
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Legal Business Name | J HART & ASSOCIATES
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Dates
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Enumeration Date | 02/17/2009
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Last Update Date | 02/17/2009
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Provider Practice Location Address
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Address Line | 5500 CARPENTER ST
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-1357
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Country | US
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Telephone | 630-241-2244
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Fax | 630-241-2244
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Provider Business Mailing Address
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Address Line | 5500 CARPENTER ST
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-1357
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Country | US
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Telephone | 630-241-2244
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Fax | 630-241-2244
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JANELL ROSEMARY HART
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Credential | PHD
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Telephone | 630-241-2244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 071006014
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 071006014
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 071006014
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071006014
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License Number State | IL
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