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General NPI Number Information
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NPI Number | 1386649317
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Entity Type | Individual
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Provider Name | TERESITA AVILA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 3825 HIGHLAND AVE STE 2F
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1548
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Country | US
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Telephone | 630-852-3762
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Fax | 630-829-6818
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Provider Business Mailing Address
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Address Line | 3825 HIGHLAND AVE STE 2F
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1548
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Country | US
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Telephone | 630-852-3762
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Fax | 630-829-6818
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 036045193
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License Number State | IL
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