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General NPI Number Information
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NPI Number | 1760613756
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Entity Type | Organization
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Legal Business Name | ALMA COMPREHENSIVE MEDICAL CENTER, LTD
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Dates
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Enumeration Date | 08/07/2009
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 1411 S 5TH AVE
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City | MAYWOOD
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State | IL
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Zip | 60153-2128
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Country | US
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Telephone | 708-338-4700
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Fax | 708-338-1931
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Provider Business Mailing Address
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Address Line | 1411 S 5TH AVE
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City | MAYWOOD
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State | IL
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Zip | 60153-2128
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Country | US
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Telephone | 708-338-4700
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Fax | 708-338-1931
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. EVE MARIE ALEXANDRE
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Credential | M.D.
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Telephone | 708-338-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036049409
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License Number State | IL
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