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General NPI Number Information
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NPI Number | 1215545660
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Entity Type | Organization
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Legal Business Name | GHIRRI HEALTH CARE INC
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Dates
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Enumeration Date | 07/21/2020
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 9101 FALCON RIDGE DR
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City | BRIDGEVIEW
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State | IL
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Zip | 60455-2608
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Country | US
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Telephone | 872-210-7324
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Fax |
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Provider Business Mailing Address
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Address Line | 9101 FALCON RIDGE DR
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City | BRIDGEVIEW
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State | IL
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Zip | 60455-2608
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Country | US
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Telephone | 872-210-7324
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MUHANNED GHIRRI
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Credential | SA-C, MPH, MSC
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Telephone | 872-210-7324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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