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General NPI Number Information
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NPI Number | 1437411659
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Entity Type | Individual
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Provider Name | MONICA MERCON TEZOLIN BARROS ALMEIDA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 2020 WEST HARRISON STREET RUTH M. ROTHSTEIN CORE CENTER
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 312-572-4626
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Fax |
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Provider Business Mailing Address
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Address Line | 111 E 210TH ST
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City | BRONX
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State | NY
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Zip | 10467-2401
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Country | US
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Telephone | 718-920-4321
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0366138937
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 036-138937
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License Number State | IL
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