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General NPI Number Information
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NPI Number | 1215980289
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Entity Type | Individual
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Provider Name | ADELINE ESSIEN MD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 04/20/2015
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Provider Practice Location Address
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Address Line | 4 RIVER HILLS CT
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City | BOLINGBROOK
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State | IL
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Zip | 60490-2148
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Country | US
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Telephone | 630-423-3507
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Fax | 630-462-6959
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Provider Business Mailing Address
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Address Line | 4 RIVER HILLS CT
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City | BOLINGBROOK
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State | IL
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Zip | 60490-2148
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Country | US
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Telephone | 630-423-3507
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Fax | 630-462-6959
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036110049
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 036110049
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036110049
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License Number State | IL
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