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General NPI Number Information
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NPI Number | 1053330209
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Entity Type | Organization
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Legal Business Name | TAPAS DASGUPTA MDSC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 05/19/2011
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Provider Practice Location Address
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Address Line | 7845 S COTTAGE GROVE AVE SUITE 109
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City | CHICAGO
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State | IL
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Zip | 60619-3100
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Country | US
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Telephone | 312-842-7822
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Fax | 866-441-0698
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Provider Business Mailing Address
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Address Line | 6747 FIELDSTONE DR
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City | BURR RIDGE
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State | IL
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Zip | 60527-5262
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Country | US
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Telephone | 312-842-7822
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Fax | 866-441-0698
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. TAPAS DASGUPTA
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Credential | MD
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Telephone | 312-224-8269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 036093907
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 036093907
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License Number State | IL
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