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General NPI Number Information
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NPI Number | 1851564108
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Entity Type | Organization
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Legal Business Name | CLINICAL & HEALTH PSYCHOLOGISTS LTD.
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 1000 MAPLE AVE FL 1
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-4965
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Country | US
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Telephone | 630-390-7505
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Fax |
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Provider Business Mailing Address
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Address Line | 9265 WATERFALL GLEN BLVD
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City | DARIEN
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State | IL
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Zip | 60561-5282
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Country | US
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Telephone | 630-390-7505
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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. TIMOTHY R TUMLIN
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Credential | PH.D.
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Telephone | 630-390-7575
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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 |
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License Number State |
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