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General NPI Number Information
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NPI Number | 1467461863
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Entity Type | Individual
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Provider Name | PADMINI THAKKAR M.D.
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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 | 03/07/2023
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Provider Practice Location Address
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Address Line | 300 FOX GLN
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City | BARRINGTON
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State | IL
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Zip | 60010-1818
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Country | US
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Telephone | 847-382-6070
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Fax | 847-382-6083
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Provider Business Mailing Address
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Address Line | 23381 N LONGVIEW PT
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City | LAKE BARRINGTON
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State | IL
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Zip | 60010-1983
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Country | US
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Telephone | 847-381-9757
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Fax | 847-381-9759
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | IL
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