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General NPI Number Information
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NPI Number | 1265989875
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Entity Type | Organization
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Legal Business Name | ADVANCE INPATIENT MEDICINE LLC
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/26/2016
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Provider Practice Location Address
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Address Line | 903 COMMERCE DRIVE SUITE 333
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City | OAK BROOK
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State | IL
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Zip | 60523
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Country | US
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Telephone | 630-571-6770
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Fax |
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Provider Business Mailing Address
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Address Line | 903 COMMERCE DRIVE SUITE 333
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City | OAK BROOK
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State | IL
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Zip | 60523
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | DIANE SARKA
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Credential |
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Telephone | 630-928-5234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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