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General NPI Number Information
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NPI Number | 1053390484
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Entity Type | Organization
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Legal Business Name | RASHID A DALAL MD PC
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 5003 N ILLINOIS ST STE 1
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City | FAIRVIEW HEIGHTS
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State | IL
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Zip | 62208-3419
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Country | US
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Telephone | 618-239-9500
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Fax | 618-239-9555
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Provider Business Mailing Address
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Address Line | 7 BEAVER CREEK CT
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City | SAINT CHARLES
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State | MO
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Zip | 63303-5497
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Country | US
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Telephone | 618-239-9500
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Fax | 618-239-9555
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Authorized Official
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Title or Position | MD
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Name | DR. RASHID A DALAL
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Credential | MD
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Telephone | 618-239-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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