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General NPI Number Information
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NPI Number | 1043290125
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Entity Type | Individual
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Provider Name | RIMAS J NEMICKAS MD
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Gender | Male
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 801 ILLINI DR
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City | SILVIS
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State | IL
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Zip | 61282-1804
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Country | US
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Telephone | 309-281-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 8420 W BRYN MAWR AVE STE 300
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City | CHICAGO
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State | IL
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Zip | 60631-3436
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Country | US
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Telephone | 773-355-5300
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Fax | 773-714-1353
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01078992A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036.093412
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD-32843
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License Number State | IA
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