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General NPI Number Information
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NPI Number | 1841226719
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Entity Type | Individual
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Provider Name | NEIL FINE MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 08/01/2016
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Provider Practice Location Address
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Address Line | 676 N SAINT CLAIR ST SUITE 1575
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City | CHICAGO
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State | IL
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Zip | 60611-2927
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Country | US
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Telephone | 312-266-6240
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Fax | 312-266-1411
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Provider Business Mailing Address
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Address Line | 676 N SAINT CLAIR ST SUITE 1575
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City | CHICAGO
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State | IL
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Zip | 60611-2927
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Country | US
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Telephone | 312-266-6240
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Fax | 312-266-1411
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 036088024
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License Number State | IL
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