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General NPI Number Information
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NPI Number | 1902354418
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Entity Type | Organization
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Legal Business Name | NANCY CUROTTO, PSY.D, LLC
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 655 W IRVING PARK RD SUITE 201
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City | CHICAGO
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State | IL
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Zip | 60613-3123
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Country | US
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Telephone | 312-409-7182
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Fax | 888-972-9742
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Provider Business Mailing Address
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Address Line | 655 W IRVING PARK RD SUITE 201
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City | CHICAGO
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State | IL
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Zip | 60613-3123
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Country | US
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Telephone | 312-409-7182
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Fax | 888-972-9742
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | NANCY CUROTTO
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Credential | PSY.D
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Telephone | 312-409-7182
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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 | 071006167
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License Number State | IL
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