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General NPI Number Information
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NPI Number | 1720113285
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Entity Type | Organization
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Legal Business Name | BESTPRACTICES OF NORTHWEST SC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 800 W CENTRAL RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-2349
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Country | US
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Telephone | 847-618-1000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 758682
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City | BALTIMORE
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State | MD
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Zip | 21275-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOM MAYER
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Credential | MD
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Telephone | 866-402-4367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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