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General NPI Number Information
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NPI Number | 1306383997
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Entity Type | Individual
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Provider Name | NORMITA PANGAN SA-C
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Gender | Female
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Dates
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Enumeration Date | 01/20/2017
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Last Update Date | 01/20/2017
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Provider Practice Location Address
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Address Line | 2500 W HIGGINS RD SUITE 910
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-7220
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Country | US
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Telephone | 224-412-2156
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Fax | 847-648-4141
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Provider Business Mailing Address
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Address Line | 2500 W HIGGINS RD SUITE 910
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-7220
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Country | US
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Telephone | 224-412-2156
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Fax | 847-648-4141
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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