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General NPI Number Information
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NPI Number | 1679587463
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Entity Type | Organization
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Legal Business Name | DAUZ & DAUZ MDS SC
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 207 SOUTH PINE SUITE 6
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City | SHELBYVILLE
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State | IL
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Zip | 62565
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Country | US
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Telephone | 217-774-5508
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Fax | 217-774-2672
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Provider Business Mailing Address
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Address Line | 207 SOUTH PINE SUITE 6
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City | SHELBYVILLE
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State | IL
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Zip | 62565
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Country | US
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Telephone | 217-774-5508
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Fax | 217-774-2672
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Authorized Official
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Title or Position | PRESIDENT
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Name | URBANO A DAUZ
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Credential | MD
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Telephone | 217-774-5508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | IL
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