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General NPI Number Information
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NPI Number | 1972051894
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Entity Type | Individual
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Provider Name | KAITLYN EICHINGER-MURPHY PSYD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2016
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 1786 MOON LAKE BLVD STE 208
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-1067
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Country | US
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Telephone | 847-755-8536
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Fax |
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Provider Business Mailing Address
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Address Line | 1786 MOON LAKE BLVD STE 208
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-1067
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Country | US
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Telephone | 847-755-8536
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Fax |
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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 | 071010388
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License Number State | IL
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