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General NPI Number Information
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NPI Number | 1902095821
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Entity Type | Organization
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Legal Business Name | VALLEY OBSTETRICS & GYNECOLOGY
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 2050 LARKIN AVE SUITE100
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City | ELGIN
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State | IL
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Zip | 60123-4405
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Country | US
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Telephone | 847-697-2500
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Fax | 847-697-2565
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Provider Business Mailing Address
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Address Line | 2050 LARKIN AVE SUITE100
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City | ELGIN
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State | IL
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Zip | 60123-4405
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Country | US
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Telephone | 847-697-2500
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Fax | 847-697-2565
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROOP SHIVPURI
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Credential | M.D.
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Telephone | 847-697-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | IL
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