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General NPI Number Information
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NPI Number | 1275137424
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Entity Type | Individual
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Provider Name | VIRA SHCHERBYUK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/29/2020
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Last Update Date | 11/29/2020
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Provider Practice Location Address
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Address Line | 6748 ROOSEVELT RD
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City | OAK PARK
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State | IL
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Zip | 60304-2027
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Country | US
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Telephone | 708-358-7791
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Fax |
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Provider Business Mailing Address
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Address Line | 1820 N 79TH AVE
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City | ELMWOOD PARK
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State | IL
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Zip | 60707-3507
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Country | US
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Telephone | 773-396-3106
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051293856
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License Number State | IL
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