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General NPI Number Information
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NPI Number | 1245469972
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Entity Type | Organization
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Legal Business Name | RANA VISION INC.
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Dates
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Enumeration Date | 07/02/2009
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Last Update Date | 07/02/2009
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Provider Practice Location Address
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Address Line | 130 S MANNHEIM RD
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City | HILLSIDE
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State | IL
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Zip | 60162-1821
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Country | US
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Telephone | 708-547-1893
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Fax | 708-547-1467
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Provider Business Mailing Address
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Address Line | 11693 MARK LN
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City | ORLAND PARK
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State | IL
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Zip | 60467-6815
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Country | US
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Telephone | 708-724-9011
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHIRAG RANA
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Credential | O.D.
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Telephone | 708-724-9011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046009971
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License Number State | IL
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