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NPI 1619451481

NPI 1619451481 : ANJALI SOOD PHARM D. : HOFFMAN ESTATES, IL

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General NPI Number Information
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    NPI Number           |    1619451481
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    Entity Type          |    Individual 
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    Provider Name        |    ANJALI SOOD PHARM D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/18/2018
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    Last Update Date     |    09/18/2018
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Provider Practice Location Address
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    Address Line         |    2500 W HIGGINS RD STE 450 
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    City                 |    HOFFMAN ESTATES
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    State                |    IL
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    Zip                  |    60169-7208
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    Country              |    US
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    Telephone            |    847-944-8261
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    Fax                  |    847-944-8262
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Provider Business Mailing Address
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    Address Line         |    1690 WHITE OAK LN 
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    City                 |    HOFFMAN ESTATES
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    State                |    IL
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    Zip                  |    60192-4621
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    Country              |    US
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    Telephone            |    847-558-9318
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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       |    051291129
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    License Number State |    IL
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