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General NPI Number Information
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NPI Number | 1215170899
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Entity Type | Organization
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Legal Business Name | REYMAR CLINIC HEALTHCARE INC.
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Dates
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Enumeration Date | 04/13/2009
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Last Update Date | 04/13/2009
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Provider Practice Location Address
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Address Line | 6032 S HALSTED ST
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City | CHICAGO
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State | IL
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Zip | 60621-2112
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Country | US
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Telephone | 773-651-9200
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Fax | 773-651-9203
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Provider Business Mailing Address
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Address Line | 6032 S HALSTED ST
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City | CHICAGO
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State | IL
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Zip | 60621-2112
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Country | US
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Telephone | 773-651-9200
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Fax | 773-651-9203
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SONIA SYCHAT
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Credential | MD
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Telephone | 773-651-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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