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General NPI Number Information
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NPI Number | 1891329215
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Entity Type | Organization
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Legal Business Name | DOCTOR GETZ L.L.C.
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 03/24/2020
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Provider Practice Location Address
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Address Line | 3047 N LINCOLN AVE UNIT 400
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City | CHICAGO
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State | IL
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Zip | 60657-4274
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Country | US
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Telephone | 312-900-0913
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Fax |
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Provider Business Mailing Address
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Address Line | 1447 W CUYLER AVE
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City | CHICAGO
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State | IL
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Zip | 60613-1917
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Country | US
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Telephone | 312-900-0913
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Fax | 312-546-7727
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/OWNER
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Name | DR. SHARON GETZ
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Credential | PSY.D.
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Telephone | 312-900-0913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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