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General NPI Number Information
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NPI Number | 1942945589
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Entity Type | Organization
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Legal Business Name | TELUVIS, INC.
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Dates
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Enumeration Date | 04/28/2022
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Last Update Date | 04/28/2022
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Provider Practice Location Address
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Address Line | 5800 N CUMBERLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60631-2947
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Country | US
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Telephone | 773-917-4538
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Fax |
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Provider Business Mailing Address
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Address Line | 5800 N CUMBERLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60631-2947
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SR. MANAGER, GLOBAL OPERATIONS
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Name | MR. MATTHEW E BERNER
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Credential |
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Telephone | 773-904-3796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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