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General NPI Number Information
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NPI Number | 1164617197
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Entity Type | Individual
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Provider Name | AGATA E MAJEWSKI O.D.
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Gender | Female
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 4214 N HARLEM AVE HARLEM-IRVING PLAZA SHOPPING CENTER
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City | NORRIDGE
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State | IL
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Zip | 60706-1204
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Country | US
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Telephone | 708-453-6644
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Fax | 708-452-9532
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Provider Business Mailing Address
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Address Line | 833 W BUENA AVE #2206
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City | CHICAGO
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State | IL
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Zip | 60613-6600
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Country | US
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Telephone | 812-219-6438
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State | IL
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