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General NPI Number Information
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NPI Number | 1609218916
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Entity Type | Individual
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Provider Name | AALAP MODI
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Gender | Male
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Dates
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Enumeration Date | 07/28/2013
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Last Update Date | 01/17/2019
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Provider Practice Location Address
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Address Line | 1751 W DIEHL RD STE 110
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City | NAPERVILLE
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State | IL
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Zip | 60563-4912
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Country | US
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Telephone | 855-264-7763
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Fax |
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Provider Business Mailing Address
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Address Line | 108 HESTERMAN DR
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City | GLENDALE HEIGHTS
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State | IL
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Zip | 60139-1945
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Country | US
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Telephone | 630-297-3031
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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 | 051296701
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License Number State | IL
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