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General NPI Number Information
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NPI Number | 1922219450
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Entity Type | Organization
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Legal Business Name | JAMES M NOTH M.D. , LTD
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 06/21/2013
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Provider Practice Location Address
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Address Line | 828 N CASS AVE SUITE 1B
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City | WESTMONT
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State | IL
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Zip | 60559-1394
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Country | US
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Telephone | 630-241-0021
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Fax | 630-241-1882
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Provider Business Mailing Address
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Address Line | 828 N CASS AVE SUITE 1B
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City | WESTMONT
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State | IL
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Zip | 60559-1394
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Country | US
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Telephone | 630-241-0021
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Fax | 630-241-1882
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES M NOTH
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Credential | MD
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Telephone | 630-241-0021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 036062589
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License Number State | IL
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