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General NPI Number Information
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NPI Number | 1437258340
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Entity Type | Individual
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Provider Name | HIDAYATULLAH G MUNSHI MD
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 675 N SAINT CLAIR ST 21-100
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City | CHICAGO
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State | IL
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Zip | 60611-5975
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Country | US
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Telephone | 312-908-5284
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Fax |
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Provider Business Mailing Address
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Address Line | 303 E SUPERIOR ST LURIE BUILDING, ROOM 3-117
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City | CHICAGO
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State | IL
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Zip | 60611-3015
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Country | US
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Telephone | 312-503-2301
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Fax | 312-503-0386
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State | IL
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