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General NPI Number Information
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NPI Number | 1871544932
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Entity Type | Individual
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Provider Name | AMEETA K BAMZAI MD
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Gender | Female
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 1831 BAYSCOTT CIRCLE STE 109 NAPERVILLE CHILDRENS CLINIC
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City | NAPERVILLE
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State | IL
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Zip | 60540
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Country | US
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Telephone | 630-961-1341
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Fax | 630-961-1782
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Provider Business Mailing Address
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Address Line | 1831 BAYSCOTT CIRCLE STE 109 NAPERVILLE CHILDRENS CLINIC
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City | NAPERVILLE
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State | IL
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Zip | 60540
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Country | US
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Telephone | 630-961-1341
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Fax | 630-961-1782
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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 | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number | 036054234
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License Number State | IL
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