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General NPI Number Information
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NPI Number | 1770747743
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Entity Type | Individual
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Provider Name | SARA ANN DOSS M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 7425 JANES AVE STE 100
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City | WOODRIDGE
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State | IL
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Zip | 60517-2357
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Country | US
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Telephone | 331-732-7100
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Fax | 331-732-7101
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Provider Business Mailing Address
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Address Line | 7425 JANES AVE STE 100
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City | WOODRIDGE
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State | IL
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Zip | 60517-2357
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Country | US
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Telephone | 331-732-7100
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Fax | 331-732-7101
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 125053050
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036128030
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125053050
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License Number State | IL
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