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General NPI Number Information
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NPI Number | 1205092855
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Entity Type | Organization
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Legal Business Name | PETER AKERELE
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 08/25/2008
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Provider Practice Location Address
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Address Line | 2223 E 79TH ST
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City | CHICAGO
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State | IL
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Zip | 60649-5016
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Country | US
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Telephone | 773-978-2100
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Fax | 773-978-1568
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Provider Business Mailing Address
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Address Line | 175 N HARBOR DR APT 3906
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City | CHICAGO
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State | IL
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Zip | 60601-7885
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Country | US
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Telephone | 773-978-2100
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Fax | 773-978-1568
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Authorized Official
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Title or Position | OWNER
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Name | DR. PETER AKERELE
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Credential |
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Telephone | 773-978-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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