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General NPI Number Information
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NPI Number | 1528203650
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Entity Type | Organization
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Legal Business Name | JAMES R. PAWLIKOWSKI, LLC
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 12/03/2008
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Provider Practice Location Address
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Address Line | 11924 OAK CREEK PKWY
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City | HUNTLEY
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State | IL
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Zip | 60142-6728
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Country | US
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Telephone | 847-515-8131
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Fax | 847-515-8142
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Provider Business Mailing Address
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Address Line | 11924 OAK CREEK PKWY
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City | HUNTLEY
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State | IL
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Zip | 60142-6728
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Country | US
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Telephone | 847-515-8131
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Fax | 847-515-8142
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES R PAWLIKOWSKI
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Credential | M.D.
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Telephone | 847-358-6378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036047711
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License Number State | IL
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