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General NPI Number Information
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NPI Number | 1447877642
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Entity Type | Individual
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Provider Name | BAYAIN M ALWAN RPH
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Gender | Female
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Dates
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Enumeration Date | 07/03/2020
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Last Update Date | 07/03/2020
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Provider Practice Location Address
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Address Line | 4312 N PULASKI RD
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City | CHICAGO
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State | IL
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Zip | 60641-2150
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Country | US
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Telephone | 773-249-9100
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Fax | 773-853-2972
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Provider Business Mailing Address
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Address Line | 4741 N KEATING AVE APT 1
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City | CHICAGO
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State | IL
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Zip | 60630-4580
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Country | US
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Telephone | 312-972-7964
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Fax | 773-853-2972
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051301869
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License Number State | IL
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