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General NPI Number Information
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NPI Number | 1316488414
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Entity Type | Organization
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Legal Business Name | RETINA HEALTH INSTITUTE SC
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Dates
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Enumeration Date | 03/09/2017
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 2320 HUNTINGTON DR N
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City | ALGONQUIN
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State | IL
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Zip | 60102-4420
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Country | US
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Telephone | 847-488-1030
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Fax | 847-488-0677
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Provider Business Mailing Address
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Address Line | 2320 HUNTINGTON DR N
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City | ALGONQUIN
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State | IL
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Zip | 60102-4420
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Country | US
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Telephone | 847-488-1030
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Fax | 847-488-0677
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Authorized Official
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Title or Position | MD & PRESIDENT
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Name | DR. RASHMI KAPUR
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Credential | M.D.
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Telephone | 847-448-1030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 036128045
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License Number State | IL
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