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General NPI Number Information
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NPI Number | 1568788198
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Entity Type | Individual
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Provider Name | MATTHEW JAMES KING M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 03/17/2024
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Provider Practice Location Address
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Address Line | 676 N SAINT CLAIR ST STE 1800
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City | CHICAGO
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State | IL
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Zip | 60611-2960
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Country | US
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Telephone | 312-573-3700
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Fax | 312-573-3705
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Provider Business Mailing Address
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Address Line | 1938 W AUGUSTA BLVD APT 501
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City | CHICAGO
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State | IL
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Zip | 60622-5301
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Country | US
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Telephone | 815-441-2933
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD472014
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 33125
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME143505
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 306838
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA10960000
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License Number State | NJ
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Taxonomy #6
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101255704
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D77555
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License Number State | MD
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Taxonomy #8
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | C1-0024011
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License Number State | DE
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Taxonomy #9
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036131806
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License Number State | IL
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