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General NPI Number Information
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NPI Number | 1902826852
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Entity Type | Individual
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Provider Name | CHRISTOPHER PAPA D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 02/13/2020
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Provider Practice Location Address
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Address Line | 1225 W LAKE ST
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City | MELROSE PARK
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State | IL
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Zip | 60160-4039
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Country | US
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Telephone | 708-938-7020
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Fax | 708-938-7079
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Provider Business Mailing Address
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Address Line | 744 HUNTINGTON CT
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City | LAKE ZURICH
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State | IL
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Zip | 60047-2790
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Country | US
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Telephone | 224-475-6998
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Fax | 800-364-0886
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 036112791
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MB08082100
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License Number State | NJ
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