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General NPI Number Information
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NPI Number | 1982710422
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Entity Type | Organization
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Legal Business Name | FOX VALLEY HEMATOLOGY INC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 07/10/2009
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Provider Practice Location Address
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Address Line | 1555 BARRINGTON RD STE 3400
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-1019
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Country | US
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Telephone | 847-755-7689
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Fax | 847-488-9596
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Provider Business Mailing Address
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Address Line | 1710 N RANDALL RD STE 300
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City | ELGIN
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State | IL
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Zip | 60123-9400
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Country | US
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Telephone | 847-931-0909
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Fax | 847-931-0939
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. TERRY SCHNEIDER
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Credential |
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Telephone | 847-931-0909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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