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General NPI Number Information
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NPI Number | 1629280839
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Entity Type | Individual
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Provider Name | HEMLATA MEENA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 3040 S CICERO AVE
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City | CICERO
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State | IL
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Zip | 60804-3638
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Country | US
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Telephone | 708-780-9777
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Fax |
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Provider Business Mailing Address
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Address Line | 1146 GUNDERSON AVE
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City | OAK PARK
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State | IL
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Zip | 60304-2120
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Country | US
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Telephone | 646-982-9130
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 31693
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036148977
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 41241
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License Number State | IA
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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 | 036148977
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License Number State | IL
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