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General NPI Number Information
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NPI Number | 1578714044
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Entity Type | Individual
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Provider Name | ASHLEY MARIE CALEEL D.O.
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Gender | Female
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 10/31/2017
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Provider Practice Location Address
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Address Line | 1275 E BELVIDERE RD STE 200
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City | GRAYSLAKE
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State | IL
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Zip | 60030-2083
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Country | US
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Telephone | 847-535-7480
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Fax |
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Provider Business Mailing Address
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Address Line | 1275 E BELVIDERE RD STE 200
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City | GRAYSLAKE
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State | IL
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Zip | 60030-2083
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Country | US
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Telephone | 847-535-7480
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036129720
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License Number State | IL
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