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General NPI Number Information
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NPI Number | 1558130526
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Entity Type | Individual
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Provider Name | GADALLAH A ALAWI
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Gender | Male
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Dates
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Enumeration Date | 01/01/2024
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Last Update Date | 01/01/2024
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Provider Practice Location Address
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Address Line | 470 TORRENCE AVE
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City | CALUMET CITY
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State | IL
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Zip | 60409-2306
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Country | US
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Telephone | 708-832-2943
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Fax |
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Provider Business Mailing Address
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Address Line | 4936 W 85TH ST
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City | BURBANK
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State | IL
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Zip | 60459-2711
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Country | US
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Telephone |
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Fax |
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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 | 051.305316
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License Number State | IL
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