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General NPI Number Information
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NPI Number | 1982055570
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Entity Type | Organization
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Legal Business Name | ECHOWSWORLD
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Dates
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Enumeration Date | 06/25/2016
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Last Update Date | 06/25/2016
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Provider Practice Location Address
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Address Line | 4315 S HARLEM AVE 8
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City | BERWYN
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State | IL
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Zip | 60402-4232
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Country | US
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Telephone | 773-306-5644
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Fax |
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Provider Business Mailing Address
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Address Line | 4315 S HARLEM AVE 8
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City | BERWYN
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State | IL
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Zip | 60402-4232
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Country | US
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Telephone | 773-306-5644
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Fax |
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Authorized Official
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Title or Position | HOUSEKEEPING
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Name | ISMAEL TORRES
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Credential |
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Telephone | 773-306-5644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 331L00000X
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Taxonomy Name | Blood Bank
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License Number |
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License Number State |
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