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General NPI Number Information
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NPI Number | 1245054584
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Entity Type | Organization
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Legal Business Name | NWI BONE & JOINT PC
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 6195 MARCELLA BLVD
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City | HOBART
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State | IN
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Zip | 46342-0040
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Country | US
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Telephone | 312-767-1230
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Fax |
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Provider Business Mailing Address
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Address Line | 552 W OAKDALE AVE
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City | CHICAGO
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State | IL
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Zip | 60657-5706
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Country | US
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Telephone | 773-474-9924
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. BARRY RING
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Credential | MD
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Telephone | 773-474-9924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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