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General NPI Number Information
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NPI Number | 1376997973
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Entity Type | Organization
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Legal Business Name | SINAI COMMUNITY FOUNDATION
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Dates
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Enumeration Date | 04/20/2016
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Last Update Date | 04/20/2016
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Provider Practice Location Address
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Address Line | 2653 W OGDEN AVE SUITE 3A
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City | CHICAGO
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State | IL
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Zip | 60608-1647
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Country | US
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Telephone | 773-257-2176
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Fax |
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Provider Business Mailing Address
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Address Line | 2653 W OGDEN AVE SUITE 3A
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City | CHICAGO
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State | IL
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Zip | 60608-1647
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | INTERIM DIRECTOR OF DIABETES SERVIC
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Name | SHAYNA OSHITA
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Credential | PHD, RD, LDN, CDE
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Telephone | 773-257-2176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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