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General NPI Number Information
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NPI Number | 1720093362
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Entity Type | Organization
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Legal Business Name | JAS HEALTHCARE INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 03/07/2014
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Provider Practice Location Address
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Address Line | 337 E 35TH ST
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City | CHICAGO
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State | IL
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Zip | 60616-3951
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Country | US
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Telephone | 312-567-1030
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Fax | 312-567-1040
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Provider Business Mailing Address
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Address Line | 5 CHESWICK CT DILIP SHAH
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City | SCHAUMBURG
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State | IL
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Zip | 60194
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Country | US
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Telephone | 847-346-8249
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Fax | 312-567-1040
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Authorized Official
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Title or Position | PHARMACIST
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Name | DILIP SHAH
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Credential |
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Telephone | 312-567-1030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 054.016808
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License Number State | IL
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