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General NPI Number Information
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NPI Number | 1528387099
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Entity Type | Organization
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Legal Business Name | MARIA NIDA V. BARINO MD LTD
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Dates
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Enumeration Date | 05/24/2010
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 685 W BOUGHTON RD
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City | BOLINGBROOK
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State | IL
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Zip | 60440-1752
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Country | US
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Telephone | 630-759-1052
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Fax | 630-759-1233
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Provider Business Mailing Address
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Address Line | 685 W BOUGHTON RD
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City | BOLINGBROOK
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State | IL
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Zip | 60440-1752
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Country | US
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Telephone | 630-759-1052
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Fax | 630-759-1233
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA NIDA V BARINO
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Credential | M.D.
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Telephone | 630-914-7720
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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 | 336051420
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License Number State | IL
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