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General NPI Number Information
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NPI Number | 1548532013
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Entity Type | Individual
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Provider Name | BERRIE SALBEGO D.V.M.
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Gender | Female
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Dates
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Enumeration Date | 01/31/2012
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Last Update Date | 01/15/2015
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Provider Practice Location Address
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Address Line | 220 N HAMMES AVE
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City | JOLIET
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State | IL
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Zip | 60435-6612
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Country | US
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Telephone | 815-729-0770
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Fax |
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Provider Business Mailing Address
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Address Line | 220 MIDDAUGH RD
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City | CLARENDON HILLS
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State | IL
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Zip | 60514-1004
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 090.007583
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License Number State | IL
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