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General NPI Number Information
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NPI Number | 1528235371
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Entity Type | Organization
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Legal Business Name | ANA M ENG MD SC
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 103 N HAVEN RD STE 7
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City | ELMHURST
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State | IL
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Zip | 60126-2923
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Country | US
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Telephone | 630-832-2111
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Fax | 630-832-5199
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Provider Business Mailing Address
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Address Line | 103 N HAVEN RD STE 7
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City | ELMHURST
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State | IL
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Zip | 60126-2923
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Country | US
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Telephone | 630-832-2111
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Fax | 630-832-5199
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANA M ENG
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Credential | M.D.
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Telephone | 630-832-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 036044582
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License Number State | IL
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