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General NPI Number Information
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NPI Number | 1033522735
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Entity Type | Organization
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Legal Business Name | RD 911, INC
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 2000 OGDEN AVE
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City | AURORA
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State | IL
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Zip | 60504-7222
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Country | US
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Telephone | 630-978-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 6420 DOUBLE EAGLE DR UNIT 706
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City | WOODRIDGE
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State | IL
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Zip | 60517-1755
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Country | US
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Telephone | 708-870-3754
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. RAVI DODDA
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Credential | D.O.
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Telephone | 708-870-3754
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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 |
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License Number State |
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