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General NPI Number Information
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NPI Number | 1932355245
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Entity Type | Organization
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Legal Business Name | LAURA E LOYA-FRANK M D S C
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 1350 W LAKE ST
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City | MELROSE PARK
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State | IL
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Zip | 60160-4042
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Country | US
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Telephone | 708-343-8512
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Fax | 708-343-8529
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Provider Business Mailing Address
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Address Line | 1350 W LAKE ST
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City | MELROSE PARK
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State | IL
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Zip | 60160-4042
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Country | US
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Telephone | 708-343-8512
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Fax | 708-343-8529
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Authorized Official
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Title or Position | DOCTOR
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Name | LAURA E LOYA-FRANK
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Credential | M.D.
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Telephone | 708-343-8512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 036086943
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License Number State | IL
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