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General NPI Number Information
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NPI Number | 1821191958
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Entity Type | Individual
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Provider Name | MEENA MALHOTRA MD
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Gender | Female
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 1122 WILLOW RD SUITE B
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City | NORTHBROOK
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State | IL
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Zip | 60062-6824
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Country | US
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Telephone | 847-686-4444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 68
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City | TECHNY
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State | IL
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Zip | 60082-0068
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Country | US
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Telephone | 847-686-4444
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036114659
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License Number State | IL
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