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General NPI Number Information
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NPI Number | 1487217642
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Entity Type | Individual
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Provider Name | TARA E DORDEK PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/15/2019
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 1732 W HUBBARD ST STE 2A
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City | CHICAGO
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State | IL
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Zip | 60622-6271
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Country | US
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Telephone | 847-675-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 1732 W HUBBARD ST STE 2A
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City | CHICAGO
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State | IL
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Zip | 60622-6271
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Country | US
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Telephone | 847-675-1400
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085.006750
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License Number State | IL
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