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General NPI Number Information
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NPI Number | 1568689669
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Entity Type | Organization
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Legal Business Name | NAPERVILLE CITY HEALTH SERVICES INC
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 640 S WASHINGTON ST STE 101
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City | NAPERVILLE
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State | IL
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Zip | 60540-6603
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Country | US
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Telephone | 630-848-1022
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Fax | 630-848-1025
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Provider Business Mailing Address
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Address Line | 640 S WASHINGTON ST STE 101
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City | NAPERVILLE
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State | IL
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Zip | 60540-6603
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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 | RPH
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Name | SAILESH DESAI
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Credential |
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Telephone | 630-848-1022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 54016152
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License Number State | IL
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