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General NPI Number Information
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NPI Number | 1023019940
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Entity Type | Individual
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Provider Name | TONY CAZEAU MD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 3435 W VAN BUREN ST
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City | CHICAGO
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State | IL
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Zip | 60624-3312
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Country | US
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Telephone | 773-265-3583
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Fax | 773-265-3700
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Provider Business Mailing Address
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Address Line | 840 S BODIN ST
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City | HINSDALE
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State | IL
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Zip | 60521-4377
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Country | US
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Telephone | 773-265-3583
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Fax | 773-265-3700
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State | IL
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