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General NPI Number Information
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NPI Number | 1740125095
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Entity Type | Individual
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Provider Name | VICTORIA PANOZZO
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Gender | Female
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 2120 W BELMONT AVE
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City | CHICAGO
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State | IL
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Zip | 60618-6797
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Country | US
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Telephone | 312-945-0177
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Fax |
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Provider Business Mailing Address
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Address Line | 141 CAMELOT WAY
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City | BOLINGBROOK
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State | IL
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Zip | 60440-2084
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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 |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 198.012017
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License Number State | IL
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