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General NPI Number Information
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NPI Number | 1659308237
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Entity Type | Individual
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Provider Name | ROBERT A HOZMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 4709 GOLF RD SUITE 111
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City | SKOKIE
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State | IL
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Zip | 60076-1231
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Country | US
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Telephone | 847-673-8473
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Fax | 847-673-8470
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Provider Business Mailing Address
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Address Line | PO BOX 97
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-0097
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Country | US
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Telephone | 847-673-8473
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Fax | 847-673-8470
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 036067290
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License Number State | IL
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