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General NPI Number Information
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NPI Number | 1235733023
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Entity Type | Individual
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Provider Name | RAMIN ASHORIAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/23/2020
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 3434 DEMPSTER ST
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City | SKOKIE
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State | IL
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Zip | 60076-2442
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Country | US
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Telephone | 847-674-1242
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Fax |
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Provider Business Mailing Address
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Address Line | 6736 N KEDVALE AVE
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-3512
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051.300184
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License Number State | IL
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