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General NPI Number Information
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NPI Number | 1760625255
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Entity Type | Organization
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Legal Business Name | TREATMENT CENTER FOR METABOLIC DISORDERS AND RESEARCH INSTITUTE SC
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Dates
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Enumeration Date | 04/13/2009
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Last Update Date | 04/13/2009
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Provider Practice Location Address
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Address Line | 1555 NAPERVILLE WHEATON RD SUITE 206
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City | NAPERVILLE
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State | IL
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Zip | 60563-1557
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Country | US
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Telephone | 630-848-1707
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Fax |
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Provider Business Mailing Address
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Address Line | 1555 NAPERVILLE WHEATON RD SUITE 206
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City | NAPERVILLE
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State | IL
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Zip | 60563-1557
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Country | US
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Telephone | 630-848-1707
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. N S BABU
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Credential | M.D.
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Telephone | 630-848-1707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 036422098
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License Number State | IL
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