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General NPI Number Information
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NPI Number | 1457360828
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Entity Type | Individual
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Provider Name | NEELAM GOEL MD
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 920 WEST ST BUILDING A SUITE 116
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City | PERU
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State | IL
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Zip | 61354-2763
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Country | US
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Telephone | 815-223-6222
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Fax | 815-223-3838
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Provider Business Mailing Address
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Address Line | 622 30TH ST
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City | PERU
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State | IL
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Zip | 61354-1472
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Country | US
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Telephone | 815-224-4188
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | IL
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