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General NPI Number Information
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NPI Number | 1821369265
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Entity Type | Individual
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Provider Name | NICOLE ANNE CIPRIANI M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/17/2012
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Last Update Date | 01/17/2012
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Provider Practice Location Address
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Address Line | 5841 S MARYLAND AVE MC 6101
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City | CHICAGO
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State | IL
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Zip | 60637-1447
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Country | US
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Telephone | 773-834-8375
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Fax |
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Provider Business Mailing Address
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Address Line | 5473 S INGLESIDE AVE #1E
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City | CHICAGO
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State | IL
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Zip | 60615-5038
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Country | US
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Telephone | 773-256-0451
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 036.129292
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License Number State | IL
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