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General NPI Number Information
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NPI Number | 1316039902
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Entity Type | Organization
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Legal Business Name | SMRITI GOEL M.D. S.C.
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 707 LAKE COOK RD SUITE 260
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City | DEERFIELD
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State | IL
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Zip | 60015-5613
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Country | US
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Telephone | 224-430-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 57 ESTATE DR
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City | DEERFIELD
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State | IL
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Zip | 60015-4861
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Country | US
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Telephone | 224-430-2255
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SMRITI GOEL
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Credential | M.D.
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Telephone | 224-430-2255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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