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General NPI Number Information
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NPI Number | 1144780727
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Entity Type | Individual
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Provider Name | POUYAN KHEIRKHAH RAHIMABAD
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Gender | Male
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 120 N OAK ST
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City | HINSDALE
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State | IL
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Zip | 60521-3829
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Country | US
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Telephone | 708-245-4013
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Fax |
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Provider Business Mailing Address
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Address Line | 391 CRESTWOOD RD
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City | WOOD DALE
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State | IL
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Zip | 60191-2551
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 036.162817
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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