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General NPI Number Information
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NPI Number | 1588820450
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Entity Type | Individual
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Provider Name | RACHEL SUE WEISELBERG MD
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Gender | Female
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 1900 W POLK ST 10TH FLOOR
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City | CHICAGO
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State | IL
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Zip | 60612-3723
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Country | US
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Telephone | 312-400-5830
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Fax |
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Provider Business Mailing Address
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Address Line | 610 W SURF ST APT 4A
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City | CHICAGO
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State | IL
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Zip | 60657-5343
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Country | US
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Telephone | 917-804-1750
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 125051524
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License Number State | IL
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