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General NPI Number Information
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NPI Number | 1760692347
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Entity Type | Individual
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Provider Name | ALAN S PANARES
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/24/2018
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Provider Practice Location Address
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Address Line | 1245 MALLARD LN
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60192
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Country | US
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Telephone | 312-593-0824
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Fax | 813-854-2244
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Provider Business Mailing Address
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Address Line | 1245 MALLARD LN
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60192-4507
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Country | US
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Telephone | 312-593-0824
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Fax | 813-854-2244
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 238000082
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License Number State | IL
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