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General NPI Number Information
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NPI Number | 1659784817
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Entity Type | Individual
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Provider Name | ASHESHA MECHINENI MD, FACP
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Gender | Female
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 2242 W HARRISON ST STE 104
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City | CHICAGO
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State | IL
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Zip | 60612-3515
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Country | US
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Telephone | 312-355-1091
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Fax | 312-413-0503
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Provider Business Mailing Address
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Address Line | 2242 W HARRISON ST STE 104
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City | CHICAGO
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State | IL
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Zip | 60612-3515
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Country | US
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Telephone | 312-355-1091
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Fax | 312-413-0503
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA09894100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 036.155454
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License Number State | IL
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