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General NPI Number Information
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NPI Number | 1700966413
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Entity Type | Individual
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Provider Name | SATISH T BARNABAS MD
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5015 N PAULINAA STREET SUITE 225
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City | CHICAGO
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State | IL
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Zip | 60640-2756
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Country | US
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Telephone | 773-561-4440
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Fax | 773-561-9211
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Provider Business Mailing Address
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Address Line | 5015 N PAULINA STREET SUITE 225
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City | CHICAGO
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State | IL
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Zip | 60640-2756
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Country | US
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Telephone | 773-561-4440
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Fax | 773-561-9211
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036061422
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01058678A
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License Number State | IN
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