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General NPI Number Information
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NPI Number | 1902131840
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Entity Type | Organization
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Legal Business Name | BAALTZ MOBILE HEALTH SERVICES INC
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Dates
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Enumeration Date | 10/09/2009
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 1226 W TAYLOR ST
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City | CHICAGO
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State | IL
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Zip | 60607-4709
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Country | US
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Telephone | 312-243-3769
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Fax | 312-243-3840
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Provider Business Mailing Address
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Address Line | 1226 W TAYLOR ST
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City | CHICAGO
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State | IL
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Zip | 60607-4709
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Country | US
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Telephone | 312-243-3769
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Fax | 312-243-3840
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANK W ZAPPA
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Credential | DPM
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Telephone | 312-243-3769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016002513
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License Number State | IL
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