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General NPI Number Information
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NPI Number | 1295038818
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Entity Type | Organization
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Legal Business Name | RAAD N RASHAN M D S C
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Dates
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Enumeration Date | 12/21/2010
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Last Update Date | 12/21/2010
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Provider Practice Location Address
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Address Line | 3743 W CHICAGO AVE
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City | CHICAGO
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State | IL
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Zip | 60624
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Country | US
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Telephone | 773-823-1860
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Fax |
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Provider Business Mailing Address
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Address Line | 4922A S CORNELL AVE
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City | CHICAGO
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State | IL
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Zip | 60615-3084
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Country | US
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Telephone | 773-823-1860
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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. RAAD RASHAN
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Credential | M.D
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Telephone | 773-823-1860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036097425
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License Number State | IL
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