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NPI 1639675739

NPI 1639675739 : ELIZABETH A HOZIAN DO : NAPERVILLE, IL

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General NPI Number Information
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    NPI Number           |    1639675739
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    Entity Type          |    Individual 
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    Provider Name        |    ELIZABETH A HOZIAN DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/05/2018
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    Last Update Date     |    07/11/2023
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Provider Practice Location Address
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    Address Line         |    50 S MAIN ST STE 200 
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    City                 |    NAPERVILLE
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    State                |    IL
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    Zip                  |    60540-5485
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    Country              |    US
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    Telephone            |    630-625-8805
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    50 S MAIN ST STE 200 
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    City                 |    NAPERVILLE
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    State                |    IL
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    Zip                  |    60540-5485
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    Country              |    US
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    Telephone            |    630-625-8805
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    Fax                  |    910-375-5498
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    036.155500
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    125.072087
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    036.155500
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    License Number State |    IL
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