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NPI 1578542304

NPI 1578542304 : YOGIN J. PARIKH M.D. : COAL VALLEY, IL

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General NPI Number Information
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    NPI Number           |    1578542304
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    Entity Type          |    Individual 
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    Provider Name        |    YOGIN J. PARIKH M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/11/2006
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    Last Update Date     |    12/17/2013
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Provider Practice Location Address
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    Address Line         |    4 SAWGRASS DR 
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    City                 |    COAL VALLEY
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    State                |    IL
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    Zip                  |    61240-9148
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    Country              |    US
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    Telephone            |    309-234-5873
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4 SAWGRASS DR 
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    City                 |    COAL VALLEY
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    State                |    IL
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    Zip                  |    61240-9148
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    Country              |    US
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    Telephone            |    309-234-5873
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    036080225
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    License Number State |    IL
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