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General NPI Number Information
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NPI Number | 1316624042
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Entity Type | Individual
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Provider Name | HAVVA GOKCE TERZIOGLU MD
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Gender | Female
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Dates
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Enumeration Date | 07/04/2023
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 808 N CLEVELAND AVE APT 1406
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City | CHICAGO
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State | IL
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Zip | 60610-3664
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Country | US
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Telephone | 312-560-8085
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Fax |
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Provider Business Mailing Address
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Address Line | 857 N HOYNE AVE APT 2
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City | CHICAGO
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State | IL
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Zip | 60622-5368
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Country | US
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Telephone | 312-560-8085
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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 | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 125082208
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 125.082208
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License Number State | IL
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