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General NPI Number Information
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NPI Number | 1801912951
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Entity Type | Individual
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Provider Name | ELENI KAMETAS
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 880 ROOSEVELT RD
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City | GLEN ELLYN
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State | IL
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Zip | 60137-6057
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Country | US
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Telephone | 630-545-9897
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Fax | 630-545-9945
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Provider Business Mailing Address
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Address Line | 5845 S GRANT ST
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City | HINSDALE
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State | IL
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Zip | 60521-4966
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State | IL
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