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General NPI Number Information
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NPI Number | 1902913759
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Entity Type | Individual
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Provider Name | ALAN MARK AUERBACH M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 720 HORATIO BLVD
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-6402
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Country | US
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Telephone | 847-508-1509
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Fax | 847-459-8968
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Provider Business Mailing Address
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Address Line | 720 HORATIO BLVD
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-6402
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Country | US
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Telephone | 847-508-1509
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Fax | 847-625-6666
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 01065184A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036059072
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License Number State | IL
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