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General NPI Number Information
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NPI Number | 1639481591
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Entity Type | Individual
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Provider Name | KRANTI GOLLAPUDI DASGUPTA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 825 E GOLF RD 2ND FL.
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-5700
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Country | US
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Telephone | 847-640-9180
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Fax | 847-640-4450
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Provider Business Mailing Address
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Address Line | 825 E GOLF RD 2ND FL.
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-5700
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Country | US
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Telephone | 847-640-9180
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Fax | 847-640-4450
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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 | 125.058864
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License Number State | IL
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