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General NPI Number Information
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NPI Number | 1316973423
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Entity Type | Individual
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Provider Name | EDUARDO VICTOR BARRIUSO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6035 W. CERMAK ROAD
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City | CICERO
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State | IL
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Zip | 60804
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Country | US
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Telephone | 708-222-6800
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Fax | 708-222-6862
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Provider Business Mailing Address
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Address Line | 910 BURR OAK CT
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City | OAK BROOK
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State | IL
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Zip | 60523-1514
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Country | US
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Telephone | 630-941-8369
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Fax | 630-941-8372
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 36-043695
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License Number State | IL
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