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General NPI Number Information
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NPI Number | 1821240714
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Entity Type | Organization
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Legal Business Name | DANIEL YAMSHON, D.O.S.C.
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 800 AUSTIN ST
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City | EVANSTON
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State | IL
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Zip | 60202-3439
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Country | US
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Telephone | 847-546-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 2513 PARK PL
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City | EVANSTON
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State | IL
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Zip | 60201-1315
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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 | ALLERGIST
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Name | DR. DANIEL YAMSHON
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Credential | D. O.
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Telephone | 847-328-8480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 036044963
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 03644963
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License Number State | IL
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