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General NPI Number Information
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NPI Number | 1912082926
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Entity Type | Organization
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Legal Business Name | COMMUNITY ORTHOPEDICS DR DHIMAN & ASSOC LTD
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1600 W US ROUTE 6
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City | MORRIS
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State | IL
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Zip | 60450-8854
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Country | US
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Telephone | 815-725-7700
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Fax | 815-744-6257
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Provider Business Mailing Address
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Address Line | 1240 ESSINGTON RD
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City | JOLIET
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State | IL
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Zip | 60435-8408
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Country | US
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Telephone | 815-725-7700
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Fax | 815-744-6257
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Authorized Official
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Title or Position | PRESIDENT
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Name | SURRENDER DHIMAN
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Credential | MD
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Telephone | 815-725-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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