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General NPI Number Information
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NPI Number | 1457008765
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Entity Type | Organization
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Legal Business Name | RUBINA QUADRI INC
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Dates
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Enumeration Date | 03/07/2022
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 3435 DEMPSTER ST
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City | SKOKIE
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State | IL
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Zip | 60076-2441
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Country | US
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Telephone | 224-388-9877
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Fax |
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Provider Business Mailing Address
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Address Line | 8872 JODY LN APT 2G
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City | DES PLAINES
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State | IL
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Zip | 60016-7302
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Country | US
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Telephone | 224-388-9877
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Fax | 949-404-6696
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MAYLIN ALUNAN
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Credential |
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Telephone | 630-883-8959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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