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General NPI Number Information
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NPI Number | 1144478231
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Entity Type | Individual
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Provider Name | DEEPA ARLA D.O.
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Gender | Female
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 800 E 55TH ST
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City | CHICAGO
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State | IL
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Zip | 60615-4906
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Country | US
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Telephone | 773-702-0660
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Fax | 773-835-3756
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Provider Business Mailing Address
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Address Line | 233 E 13TH ST APT 503
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City | CHICAGO
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State | IL
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Zip | 60605-3239
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Country | US
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Telephone | 502-418-9028
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036137648
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License Number State | IL
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