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General NPI Number Information
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NPI Number | 1487855219
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Entity Type | Organization
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Legal Business Name | MICHAEL MCNETT MD SC
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 4332 N ELSTON AVE
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City | CHICAGO
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State | IL
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Zip | 60641-2144
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Country | US
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Telephone | 773-604-5321
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Fax | 773-604-5231
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Provider Business Mailing Address
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Address Line | 4332 N ELSTON AVE
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City | CHICAGO
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State | IL
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Zip | 60641-2144
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Country | US
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Telephone | 773-604-5321
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Fax | 773-604-5231
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. MICHAEL MCNETT
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Credential | M.D.
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Telephone | 773-604-5321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State | IL
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