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General NPI Number Information
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NPI Number | 1598975781
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Entity Type | Organization
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Legal Business Name | PRADEEP THAPAR, MD.SC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 10745 165TH ST
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City | ORLAND PARK
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State | IL
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Zip | 60467-8713
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Country | US
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Telephone | 708-799-8384
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Fax | 708-799-1305
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Provider Business Mailing Address
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Address Line | 10745 165TH ST
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City | ORLAND PARK
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State | IL
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Zip | 60467-8713
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Country | US
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Telephone | 708-799-8384
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Fax | 708-799-1305
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Authorized Official
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Title or Position | OWNER
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Name | DR. PRADEEP THAPAR
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Credential | MD
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Telephone | 708-799-8384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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