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General NPI Number Information
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NPI Number | 1992920441
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Entity Type | Individual
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Provider Name | RICHARD TODD DINEEN M.S.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 1520 W HARRISON ST FL 7
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City | CHICAGO
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State | IL
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Zip | 60607-3106
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Country | US
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Telephone | 312-942-4500
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Fax | 312-942-2380
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Provider Business Mailing Address
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Address Line | 1725 W HARRISON ST STE 1118
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City | CHICAGO
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State | IL
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Zip | 60612-3845
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Country | US
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Telephone | 312-563-4515
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Fax | 312-942-2380
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | 246000038
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License Number State | IL
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