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General NPI Number Information
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NPI Number | 1245599984
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Entity Type | Individual
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Provider Name | CAROLINE KOHLHAPP D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/15/2012
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 6810 N MCCORMICK BLVD
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-2709
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Country | US
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Telephone | 847-674-6900
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Fax | 847-329-4831
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Provider Business Mailing Address
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Address Line | 6810 N MCCORMICK BLVD
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-2709
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Country | US
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Telephone | 847-674-6900
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Fax | 847-329-4831
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MB09667500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036141258
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License Number State | IL
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