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General NPI Number Information
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NPI Number | 1386649440
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Entity Type | Individual
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Provider Name | PATRICIA W SHAO PHARMD
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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 | 07/08/2007
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Provider Practice Location Address
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Address Line | 5145 N CALIFORNIA AVE
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City | CHICAGO
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State | IL
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Zip | 60625-3661
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Country | US
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Telephone | 773-989-3810
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Fax |
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Provider Business Mailing Address
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Address Line | 7239 N KEELER AVE
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-2020
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Country | US
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Telephone | 847-675-7591
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Fax | 847-675-7592
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State | IL
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