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General NPI Number Information
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NPI Number | 1891866646
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Entity Type | Individual
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Provider Name | STACEY LYNN SULLIVAN CMA
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1725 W HARRISON ST SUITE 408
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 312-997-2229
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Fax | 312-666-4163
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Provider Business Mailing Address
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Address Line | 1646 S 57TH CT
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City | CICERO
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State | IL
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Zip | 60804
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Country | US
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Telephone | 773-936-8105
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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