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General NPI Number Information
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NPI Number | 1902322159
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Entity Type | Individual
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Provider Name | DINKO ALEKSANDROV PSYD
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Gender | Male
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Dates
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Enumeration Date | 08/18/2017
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Last Update Date | 01/31/2020
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Provider Practice Location Address
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Address Line | 333 N MICHIGAN AVE STE 602
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City | CHICAGO
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State | IL
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Zip | 60601-3920
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Country | US
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Telephone | 414-797-3285
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Fax | 312-312-9688
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Provider Business Mailing Address
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Address Line | 333 N MICHIGAN AVE STE 602
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City | CHICAGO
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State | IL
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Zip | 60601-3920
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Country | US
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Telephone | 414-797-3285
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Fax | 312-312-9688
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3491-57
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3491-57
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License Number State | WI
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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 | 071.009639
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 3491-57
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071.009639
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License Number State | IL
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