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General NPI Number Information
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NPI Number | 1790954998
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Entity Type | Organization
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Legal Business Name | PERLMAN DAVIS AND ASSOCIATES IN PSYCHOLOGY
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 2275 HALF DAY RD SUITE 145
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City | BANNOCKBURN
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State | IL
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Zip | 60015-1217
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Country | US
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Telephone | 847-236-1574
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Fax |
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Provider Business Mailing Address
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Address Line | 2275 HALF DAY RD SUITE 145
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City | BANNOCKBURN
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State | IL
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Zip | 60015-1217
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Country | US
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Telephone | 847-236-1574
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. BARBARA NELSON PERLMAN
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Credential | PH.D.
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Telephone | 847-236-1574
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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 | 71-3882
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License Number State | IL
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