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General NPI Number Information
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NPI Number | 1619179512
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Entity Type | Individual
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Provider Name | RASHA I. ALI MD
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Gender | Female
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Dates
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Enumeration Date | 06/03/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 303 E ARMY TRAIL RD 200
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2169
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Country | US
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Telephone | 630-351-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 1860 PAYSHERE CIRCLE
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City | CHICAGO
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State | IL
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Zip | 60674-2169
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Country | US
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Telephone | 630-545-6016
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 036.134804
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License Number State | IL
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