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General NPI Number Information
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NPI Number | 1689873788
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Entity Type | Organization
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Legal Business Name | PARTNERS IN PEDIATRICS, S.C.
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 605 W CENTRAL RD SUITE 200
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-2377
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Country | US
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Telephone | 847-670-0704
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Fax | 847-670-0724
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Provider Business Mailing Address
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Address Line | 605 W CENTRAL RD SUITE 200
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-2377
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Country | US
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Telephone | 847-670-0704
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Fax | 847-670-0724
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANITA N SHAH
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Credential | M.D.
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Telephone | 847-670-0704
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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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