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General NPI Number Information
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NPI Number | 1982802864
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Entity Type | Individual
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Provider Name | PRASANNA KUMAR TURAKA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 04/17/2013
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Provider Practice Location Address
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Address Line | 900 JORIE BLVD
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City | OAK BROOK
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State | IL
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Zip | 60523-2213
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Country | US
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Telephone | 630-954-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 807 W WHITE OAK ST
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-3027
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Country | US
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Telephone | 847-414-3112
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 036121695
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License Number State | IL
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