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General NPI Number Information
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NPI Number | 1831537091
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Entity Type | Individual
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Provider Name | MEREDITHE CLAIRE MCNAMARA MD
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Gender | Female
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 5721 S MARYLAND AVE # MC8000 SUITE K160
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City | CHICAGO
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State | IL
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Zip | 60637
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Country | US
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Telephone | 201-315-6093
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 S STATE ST APT 908
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City | CHICAGO
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State | IL
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Zip | 60605-3623
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Country | US
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Telephone | 201-315-6093
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 125063260
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License Number State | IL
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