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General NPI Number Information
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NPI Number | 1629633094
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Entity Type | Organization
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Legal Business Name | BUCKEYE HEALTH PARTNERS LLC
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Dates
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Enumeration Date | 05/01/2019
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Last Update Date | 08/14/2020
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Provider Practice Location Address
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Address Line | 50 W BROAD ST STE 1330
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City | COLUMBUS
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State | OH
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Zip | 43215-3307
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Country | US
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Telephone | 630-468-0442
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Fax |
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Provider Business Mailing Address
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Address Line | 1S450 SUMMIT AVE STE 165
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-3952
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Country | US
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Telephone | 630-320-6871
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BADER ALMOSHELLI
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Credential | MD
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Telephone | 630-320-6871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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