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General NPI Number Information
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NPI Number | 1912187485
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Entity Type | Organization
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Legal Business Name | RICHARD H TELINGATOR M.D. LTD.
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 122 S MICHIGAN AVE 1307
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City | CHICAGO
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State | IL
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Zip | 60603-6191
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Country | US
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Telephone | 312-922-5186
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Fax | 312-922-5187
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Provider Business Mailing Address
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Address Line | 122 S MICHIGAN AVE 1307
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City | CHICAGO
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State | IL
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Zip | 60603-6191
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Country | US
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Telephone | 312-922-5186
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Fax | 312-922-5187
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD H. TELINGATOR
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Credential | M.D.
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Telephone | 312-922-5186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State | IL
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