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General NPI Number Information
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NPI Number | 1386314821
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Entity Type | Individual
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Provider Name | RANNA HALIM
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Gender | Female
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Dates
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Enumeration Date | 09/16/2021
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 8600 SOUTH ROBERTS ROAD
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City | JUSTICE
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State | IL
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Zip | 60458
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Country | US
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Telephone | 708-430-8191
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Fax |
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Provider Business Mailing Address
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Address Line | 9193 WINDSOR DR
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City | PALOS HILLS
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State | IL
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Zip | 60465-1169
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Country | US
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Telephone | 708-513-8158
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Fax |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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