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General NPI Number Information
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NPI Number | 1538108550
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Entity Type | Organization
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Legal Business Name | ROLAND S MEDANSKY & RAYMOND M HANDLER
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 8780 W GOLF RD SUITE 303
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City | NILES
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State | IL
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Zip | 60714-5602
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Country | US
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Telephone | 847-299-1044
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Fax | 847-299-0425
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Provider Business Mailing Address
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Address Line | 8780 W GOLF RD SUITE 303
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City | NILES
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State | IL
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Zip | 60714-5602
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Country | US
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Telephone | 847-299-1044
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Fax | 847-299-0425
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Authorized Official
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Title or Position | PARTNER
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Name | DR. RAYMOND M HANDLER
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Credential | M.D.
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Telephone | 847-299-1044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | IL
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