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General NPI Number Information
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NPI Number | 1336136258
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Entity Type | Individual
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Provider Name | PANKAJ G VASHI M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 01/07/2024
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Provider Practice Location Address
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Address Line | 2520 ELISHA AVE
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City | ZION
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State | IL
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Zip | 60099-2676
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Country | US
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Telephone | 847-872-6415
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Fax | 847-746-6007
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Provider Business Mailing Address
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Address Line | 2520 ELISHA AVE
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City | ZION
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State | IL
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Zip | 60099
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Country | US
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Telephone | 847-872-4561
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Fax | 847-263-5459
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036-083762
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036.083762
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License Number State | IL
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