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General NPI Number Information
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NPI Number | 1972016723
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Entity Type | Organization
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Legal Business Name | SPHINX SERVICES INC
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Dates
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Enumeration Date | 11/14/2017
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Last Update Date | 08/24/2018
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Provider Practice Location Address
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Address Line | 1166 E DUNDEE RD
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City | PALATINE
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State | IL
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Zip | 60074
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Country | US
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Telephone | 847-962-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 1166 E DUNDEE RD
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City | PALATINE
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State | IL
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Zip | 60074-8305
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Country | US
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Telephone | 847-962-3223
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | TETYANA VORONKINA
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Credential |
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Telephone | 847-924-6621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 036065434
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License Number State | IL
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