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General NPI Number Information
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NPI Number | 1124051446
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Entity Type | Individual
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Provider Name | JACOB I SZNAJDER MD
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Gender | Male
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 675 N SAINT CLAIR ST STE 18-250
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City | CHICAGO
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State | IL
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Zip | 60611-5980
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Country | US
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Telephone | 312-695-1800
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Fax | 312-695-4741
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Provider Business Mailing Address
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Address Line | 240 E HURON ST STE M326
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City | CHICAGO
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State | IL
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Zip | 60611-2909
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Country | US
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Telephone | 312-908-7737
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Fax | 312-908-4650
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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 | 036073001
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License Number State | IL
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