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General NPI Number Information
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NPI Number | 1225167174
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Entity Type | Organization
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Legal Business Name | SURGEONS LTD
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 1200 S YORK RD SUITE 4220
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City | ELMHURST
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State | IL
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Zip | 60126-5626
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Country | US
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Telephone | 630-758-8844
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 S YORK RD SUITE 4220
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City | ELMHURST
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State | IL
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Zip | 60126-5626
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Country | US
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Telephone | 630-758-8844
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN A HAMBY
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Credential | MD
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Telephone | 630-758-8844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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