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General NPI Number Information
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NPI Number | 1467690370
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Entity Type | Organization
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Legal Business Name | ASRA HEALTH CARE LTD
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 01/30/2009
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Provider Practice Location Address
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Address Line | 2121 ONEIDA ST SUITE 003
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City | JOLIET
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State | IL
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Zip | 60435-6544
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Country | US
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Telephone | 815-744-7400
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Fax | 815-744-7435
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Provider Business Mailing Address
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Address Line | 2121 WEST ONEIDA STREET SUITE 003
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City | JOLIET
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State | IL
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Zip | 60435
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Country | US
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Telephone | 815-744-7400
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Fax | 815-744-7435
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. NAZEER U SHAIK
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Credential | M.D.
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Telephone | 815-744-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 36085250
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License Number State | IL
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