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General NPI Number Information
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NPI Number | 1245433671
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Entity Type | Organization
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Legal Business Name | EDWARD PALOYAN, M.D., S.C.
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 05/08/2017
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Provider Practice Location Address
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Address Line | 700 E OGDEN AVE STE 205
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City | WESTMONT
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State | IL
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Zip | 60559-5569
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Country | US
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Telephone | 630-655-0722
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Fax | 630-655-0728
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Provider Business Mailing Address
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Address Line | 700 E OGDEN AVE STE 205
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City | WESTMONT
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State | IL
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Zip | 60559-5569
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Country | US
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Telephone | 630-655-0722
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Fax | 630-655-0728
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD PALOYAN
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Credential | M.D.
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Telephone | 630-655-0722
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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 | 036034801
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License Number State | IL
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