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General NPI Number Information
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NPI Number | 1992811186
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Entity Type | Organization
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Legal Business Name | DR ANNETTE ARZT SC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 12/13/2007
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Provider Practice Location Address
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Address Line | 960 RAND ROAD SUITE 219A
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City | DES PLAINES
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State | IL
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Zip | 60016-2352
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Country | US
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Telephone | 847-824-2686
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Fax | 847-838-5958
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Provider Business Mailing Address
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Address Line | 960 RAND ROAD SUITE 219A
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City | DES PLAINES
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State | IL
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Zip | 60016-2352
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Country | US
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Telephone | 847-824-2686
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Fax | 847-838-5958
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST PRESIDENT
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Name | ANNETTE ARZT
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Credential | PHD
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Telephone | 847-824-2686
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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 |
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License Number State | IL
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