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General NPI Number Information
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NPI Number | 1386804235
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Entity Type | Organization
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Legal Business Name | SHREYAS K. RANA LTD.
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 2000 OGDEN AVE
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City | AURORA
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State | IL
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Zip | 60504-7222
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Country | US
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Telephone | 630-898-5275
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Fax |
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Provider Business Mailing Address
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Address Line | 2308 DUNMORE DR
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City | DARIEN
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State | IL
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Zip | 60561-8453
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Country | US
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Telephone | 773-807-2805
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHREYAS KANU RANA
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Credential | M.D.
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Telephone | 773-807-2805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 036119152
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License Number State | IL
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