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General NPI Number Information
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NPI Number | 1346224797
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Entity Type | Individual
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Provider Name | XAVIER F POMBAR DO
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Gender | Male
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 1890 SILVER CROSS BLVD STE 215
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City | NEW LENOX
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State | IL
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Zip | 60451-9626
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Country | US
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Telephone | 312-997-2229
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Fax | 773-797-2884
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Provider Business Mailing Address
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Address Line | 302 RANDALL RD STE 303
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City | GENEVA
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State | IL
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Zip | 60134-4221
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Country | US
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Telephone | 630-938-8300
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Fax | 630-938-9935
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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 | 036084545
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 036-084545
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License Number State | IL
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