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General NPI Number Information
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NPI Number | 1902913403
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Entity Type | Organization
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Legal Business Name | MEDICAL ARTS FAMILY PHYSICIANS, SC
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 11/19/2009
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Provider Practice Location Address
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Address Line | 135 N GREENLEAF ST SUITE 100
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City | GURNEE
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State | IL
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Zip | 60031-3393
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Country | US
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Telephone | 847-244-7223
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Fax | 847-244-7247
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Provider Business Mailing Address
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Address Line | 135 NORTH GREENLEAF SUITE 100
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City | GURNEE
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State | IL
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Zip | 60031-3334
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Country | US
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Telephone | 847-244-7223
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Fax | 847-244-7247
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Authorized Official
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Title or Position | PRESIDENT OF CORPORATION
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Name | DR. DANNY K VU
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Credential | MD
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Telephone | 847-244-7223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 036096722
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License Number State | IL
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