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General NPI Number Information
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NPI Number | 1346682747
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Entity Type | Organization
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Legal Business Name | TURNER CLINICS SC
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Dates
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Enumeration Date | 07/25/2013
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Last Update Date | 10/11/2013
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Provider Practice Location Address
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Address Line | 17W662 BUTTERFIELD RD STE 300
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4098
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Country | US
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Telephone | 312-854-8988
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Fax | 312-854-8986
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Provider Business Mailing Address
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Address Line | 17W662 BUTTERFIELD RD STE 300
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4098
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Country | US
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Telephone | 312-854-8988
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Fax | 312-854-8986
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OMAR GARCIA
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Credential | MD
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Telephone | 312-854-8988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 036061167
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License Number State | IL
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