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General NPI Number Information
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NPI Number | 1144278847
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Entity Type | Individual
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Provider Name | ANTHONY F. OGNJAN D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 04/03/2013
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Provider Practice Location Address
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Address Line | 5280 METROPOLITAN PKWY
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-4005
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Country | US
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Telephone | 586-446-8688
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Fax | 586-446-9994
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Provider Business Mailing Address
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Address Line | 901 MCCLINTOCK DR SUTIE 202
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City | BURR RIDGE
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State | IL
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Zip | 60527-0871
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Country | US
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Telephone | 888-220-6432
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Fax | 630-734-4715
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 5101008652
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License Number State | MI
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