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General NPI Number Information
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NPI Number | 1538305867
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Entity Type | Organization
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Legal Business Name | MADHURI R YEMUL M D S C
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Dates
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Enumeration Date | 12/16/2008
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Last Update Date | 03/30/2009
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Provider Practice Location Address
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Address Line | 24024 BRANCASTER DR
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City | NAPERVILLE
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State | IL
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Zip | 60564-8044
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Country | US
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Telephone | 630-904-4949
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Fax | 630-904-4959
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Provider Business Mailing Address
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Address Line | PO BOX 9336
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City | NAPERVILLE
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State | IL
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Zip | 60567-0336
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Country | US
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Telephone | 630-904-4949
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Fax | 630-904-4959
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. SADNA MOHAN
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Credential |
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Telephone | 630-375-6500
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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 | 036101657
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License Number State | IL
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