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General NPI Number Information
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NPI Number | 1649405531
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Entity Type | Organization
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Legal Business Name | ALLIANCE PAIN INSTITUTE
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Dates
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Enumeration Date | 05/20/2009
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Last Update Date | 05/20/2009
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Provider Practice Location Address
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Address Line | 396 REMINGTON BLVD SUITE 140
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City | BOLINGBROOK
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State | IL
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Zip | 60440-4302
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Country | US
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Telephone | 414-975-4882
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Fax |
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Provider Business Mailing Address
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Address Line | 111 S MORGAN ST UNIT #710
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City | CHICAGO
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State | IL
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Zip | 60607-2724
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Country | US
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Telephone | 414-975-4882
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. SUNAVO DASGUPTA
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Credential | M.D
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Telephone | 414-975-4882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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