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General NPI Number Information
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NPI Number | 1396067302
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Entity Type | Organization
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Legal Business Name | SAPNA RATHI, M.D, S.C
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Dates
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Enumeration Date | 02/17/2010
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 800 BIESTERFIELD RD. EBERLE BUILDING SUITE 585
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City | ELK GROVE
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State | IL
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Zip | 60007-3362
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Country | US
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Telephone | 847-290-0921
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Fax | 847-290-0996
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Provider Business Mailing Address
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Address Line | 800 BIESTERFIELD RD EBERLE BUILDING, SUITE 585
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City | ELK GROVE VLG
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State | IL
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Zip | 60007-3361
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Country | US
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Telephone | 847-290-0921
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Fax | 847-290-0996
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAPNA RATHI
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Credential | M.D.
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Telephone | 847-290-0921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | 036087920
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License Number State | IL
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