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General NPI Number Information
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NPI Number | 1154758985
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Entity Type | Organization
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Legal Business Name | ENTOPY RESEARCH LLC
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Dates
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Enumeration Date | 10/11/2013
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Last Update Date | 10/11/2013
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Provider Practice Location Address
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Address Line | 2525 S MICHIGAN AVE SUITE 2-614
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City | CHICAGO
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State | IL
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Zip | 60616-2315
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Country | US
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Telephone | 312-498-2860
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 S MICHIGAN AVE SUITE 2-614
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City | CHICAGO
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State | IL
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Zip | 60616-2315
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Country | US
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Telephone | 312-498-2860
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PRAVIN MUNIYAPPA
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Credential | M.D.
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Telephone | 312-498-2860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 036105193
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License Number State | IL
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