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General NPI Number Information
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NPI Number | 1588696603
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Entity Type | Individual
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Provider Name | SANDRA MARIE TURNER MD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 5001 S MICHIGAN AVE
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City | CHICAGO
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State | IL
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Zip | 60615-2112
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Country | US
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Telephone | 773-451-4700
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Fax | 773-548-8632
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Provider Business Mailing Address
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Address Line | PO BOX 738
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City | FOREST PARK
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State | IL
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Zip | 60130
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Country | US
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Telephone | 773-330-3172
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036066327
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License Number State | IL
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