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General NPI Number Information
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NPI Number | 1083813570
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Entity Type | Organization
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Legal Business Name | CORACLE MEDICAL BILLING & CODING, LLC
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 5244 W GREENWOOD AVE
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City | SKOKIE
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State | IL
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Zip | 60077
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Country | US
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Telephone | 847-965-8552
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Fax | 847-965-8552
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Provider Business Mailing Address
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Address Line | PO BOX 682
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City | SKOKIE
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State | IL
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Zip | 60076-0682
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Country | US
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Telephone | 847-965-8552
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Fax | 847-965-8552
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | FAITH C. M. MCNICHOLAS
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Credential | CPC
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Telephone | 847-965-8552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246YC3302X
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Taxonomy Name | Physician Office Based Coding Specialist
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License Number |
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License Number State |
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