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General NPI Number Information
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NPI Number | 1083609028
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Entity Type | Individual
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Provider Name | KATHLEEN ANN REMLINGER MD
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Gender | Female
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Dates
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Enumeration Date | 09/15/2005
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Last Update Date | 05/16/2013
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Provider Practice Location Address
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Address Line | 636 RAYMOND DR STE 200
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City | NAPERVILLE
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State | IL
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Zip | 60563-9791
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Country | US
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Telephone | 630-355-5302
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Fax | 630-778-6088
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Provider Business Mailing Address
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Address Line | 636 RAYMOND DR STE 200
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City | NAPERVILLE
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State | IL
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Zip | 60563-9791
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Country | US
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Telephone | 630-355-5302
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Fax | 630-778-6088
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 036-055864
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License Number State | IL
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