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General NPI Number Information
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NPI Number | 1972541712
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Entity Type | Individual
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Provider Name | LYDIA E SHARP SCHINSKY M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 11/17/2014
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Provider Practice Location Address
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Address Line | 2160 S 1ST AVE
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City | MAYWOOD
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State | IL
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Zip | 60153-3328
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Country | US
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Telephone | 708-327-2549
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Fax |
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Provider Business Mailing Address
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Address Line | 1450 GRAYSTONE DR
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City | AURORA
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State | IL
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Zip | 60502-1327
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Country | US
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Telephone | 314-482-4703
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 336076761
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036115454
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2004004907
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License Number State | MO
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