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General NPI Number Information
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NPI Number | 1316002538
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Entity Type | Individual
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Provider Name | GITA RUPANI MD
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 1515 SOUTH PRAIRIE AVE #1306
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City | CHICAGO
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State | IL
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Zip | 60605-3043
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Country | US
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Telephone | 312-880-0087
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Fax | 773-834-2218
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Provider Business Mailing Address
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Address Line | 1515 SOUTH PRAIRIE AVE #1306
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City | CHICAGO
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State | IL
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Zip | 60605
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Country | US
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Telephone | 312-880-0087
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Fax | 773-834-2218
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 036063645
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License Number State | IL
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