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General NPI Number Information
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NPI Number | 1659193001
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Entity Type | Individual
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Provider Name | BILL H PSARROS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 1 N WAUKEGAN RD, AP5 NE
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City | NORTH CHICAGO
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State | IL
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Zip | 60064
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Country | US
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Telephone | 888-857-0668
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Fax |
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Provider Business Mailing Address
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Address Line | 1048 S WALNUT AVE
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-3052
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051306553
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License Number State | IL
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