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General NPI Number Information
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NPI Number | 1437333051
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Entity Type | Organization
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Legal Business Name | OSWEGO FAMILY PHYSICIANS LTD
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 2685 US HIGHWAY 34
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City | OSWEGO
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State | IL
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Zip | 60543-8577
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Country | US
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Telephone | 630-551-0047
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Fax | 630-551-0048
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Provider Business Mailing Address
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Address Line | 2685 US HIGHWAY 34
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City | OSWEGO
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State | IL
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Zip | 60543-8577
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Country | US
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Telephone | 630-551-0047
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Fax | 630-551-0048
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANKUR J PATEL
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Credential | M.D.
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Telephone | 630-551-0047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036110282
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License Number State | IL
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