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General NPI Number Information
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NPI Number | 1386186799
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Entity Type | Individual
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Provider Name | SHELLEY SCHWARTZ RD
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Gender | Female
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Dates
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Enumeration Date | 11/16/2016
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 123 N WACKER DR STE 1250
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City | CHICAGO
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State | IL
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Zip | 60606-1911
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Country | US
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Telephone | 800-774-5962
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Fax |
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Provider Business Mailing Address
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Address Line | 15316 JILLIAN CT
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City | ORLAND PARK
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State | IL
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Zip | 60467-4607
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Country | US
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Telephone | 708-670-0084
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164.005251
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License Number State | IL
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