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General NPI Number Information
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NPI Number | 1639272727
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Entity Type | Individual
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Provider Name | ARLENE OBAZEE PA C
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Gender | Female
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 5517 S MICHIGAN AVE
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City | CHICAGO
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State | IL
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Zip | 60637-1012
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Country | US
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Telephone | 773-643-0400
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Fax | 773-643-0640
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Provider Business Mailing Address
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Address Line | 4621 FARMINGTON AVE
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City | RICHTON PARK
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State | IL
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Zip | 60471-1807
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Country | US
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Telephone | 708-503-0455
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Fax | 773-643-0640
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1059376
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License Number State | IL
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