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General NPI Number Information
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NPI Number | 1942221981
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Entity Type | Individual
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Provider Name | GOPAL LALMALANI MD
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Gender | Male
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 02/24/2015
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Provider Practice Location Address
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Address Line | 2340 S HIGHLAND AVE
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City | LOMBARD
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State | IL
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Zip | 60148-5371
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Country | US
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Telephone | 630-792-0900
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Fax | 630-792-0966
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Provider Business Mailing Address
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Address Line | 777 OAKMONT LN SUITE 1600
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City | WESTMONT
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State | IL
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Zip | 60559-5511
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Country | US
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Telephone | 630-789-2550
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Fax |
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036050305
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License Number State | IL
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