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General NPI Number Information
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NPI Number | 1538384706
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Entity Type | Organization
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Legal Business Name | ADVANCED REPRODUCTIVE HEALTH CENTERS
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Dates
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Enumeration Date | 04/14/2007
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Last Update Date | 08/30/2012
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Provider Practice Location Address
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Address Line | 10811 W. 143RD ST. SUITE 120
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City | ORLAND PARK
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State | IL
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Zip | 60467
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Country | US
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Telephone | 708-403-4210
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Fax | 708-403-5272
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Provider Business Mailing Address
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Address Line | 5225 OLD ORCHARD RD SUITE 24A
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City | SKOKIE
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State | IL
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Zip | 60077
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Country | US
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Telephone | 847-966-8803
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Fax | 847-966-8821
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE AND ADMINISTRAT
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Name | LAURIE CLAYTON
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Credential |
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Telephone | 847-966-8803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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