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General NPI Number Information
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NPI Number | 1063858512
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Entity Type | Individual
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Provider Name | ABDULWAHAB HRITANI MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2013
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 10837 S CICERO AVE STE 200
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City | OAK LAWN
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State | IL
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Zip | 60453-6459
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Country | US
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Telephone | 708-636-7575
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Fax |
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Provider Business Mailing Address
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Address Line | 29373 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1293
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Country | US
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Telephone |
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036-168669
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 65438-20
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 37973
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License Number State | AL
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