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General NPI Number Information
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NPI Number | 1023830668
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Entity Type | Organization
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Legal Business Name | DPMS MEDICAL LLC
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Dates
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Enumeration Date | 10/25/2024
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 610 S MAPLE AVE STE 2800
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City | OAK PARK
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State | IL
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Zip | 60304-1092
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Country | US
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Telephone | 312-563-4120
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Fax |
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Provider Business Mailing Address
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Address Line | 610 S MAPLE AVE STE 2800
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City | OAK PARK
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State | IL
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Zip | 60304-1092
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Country | US
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Telephone | 312-563-4120
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIPEN PATEL
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Credential |
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Telephone | 773-329-0281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number |
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License Number State |
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