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General NPI Number Information
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NPI Number | 1851908842
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Entity Type | Organization
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Legal Business Name | CENTRAL DUPAGE HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 25 N. WINFIELD ROAD
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City | WINFIELD
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State | IL
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Zip | 60190
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Country | US
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Telephone | 630-933-2633
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Fax | 630-933-2628
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Provider Business Mailing Address
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Address Line | 25 N. WINFIELD ROAD
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City | WINFIELD
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State | IL
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Zip | 60190
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Country | US
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Telephone | 630-933-2633
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Fax | 630-933-2628
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Authorized Official
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Title or Position | VP, OPERATION- LABORATORY ADMINISTR
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Name | MR. SYLVESTER ANTHONY DAZZO
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Credential |
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Telephone | 630-933-2093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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