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General NPI Number Information
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NPI Number | 1881627198
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Entity Type | Individual
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Provider Name | MARINA CLAUDIO M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 6326 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60659-1204
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Country | US
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Telephone | 773-463-4100
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Fax | 773-463-4102
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Provider Business Mailing Address
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Address Line | PO BOX 597845
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City | CHICAGO
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State | IL
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Zip | 60659-7845
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Country | US
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Telephone | 773-463-4100
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Fax | 773-463-4102
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036-108446
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License Number State | IL
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