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General NPI Number Information
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NPI Number | 1255625638
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Entity Type | Organization
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Legal Business Name | HASU D PATEL MD SC
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Dates
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Enumeration Date | 06/03/2011
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Last Update Date | 06/03/2011
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Provider Practice Location Address
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Address Line | 30 N RIVER RD SUITE # 103
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City | DES PLAINES
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State | IL
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Zip | 60016
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Country | US
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Telephone | 847-803-3610
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Fax | 847-803-3613
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Provider Business Mailing Address
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Address Line | 30 N RIVER RD SUITE # 103
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City | DES PLAINES
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State | IL
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Zip | 60016
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Country | US
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Telephone | 847-803-3610
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Fax | 847-803-3613
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Authorized Official
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Title or Position | M.D.
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Name | MRS. HASUMATI D. PATEL
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Credential | M.D.
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Telephone | 847-803-3610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036050622
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License Number State | IL
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