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General NPI Number Information
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NPI Number | 1679742076
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Entity Type | Organization
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Legal Business Name | VINOD P UPADHYAYA MD & RAMA S SINGH MD
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 4400 W 95TH ST SUITE 201
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City | OAK LAWN
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State | IL
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Zip | 60453-2654
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Country | US
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Telephone | 708-636-6626
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Fax | 708-346-2035
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Provider Business Mailing Address
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Address Line | 4400 W 95TH ST SUITE 201
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City | OAK LAWN
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State | IL
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Zip | 60453-2654
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Country | US
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Telephone | 708-636-6626
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Fax | 708-346-2035
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. DIANA BERRERA
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Credential |
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Telephone | 708-636-6626
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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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