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General NPI Number Information
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NPI Number | 1740386051
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Entity Type | Individual
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Provider Name | SURESH VRAJLAL SHINGALA MD
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 08/01/2014
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Provider Practice Location Address
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Address Line | 5015 N PAULINA ST #214
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City | CHICAGO
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State | IL
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Zip | 60640-2756
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Country | US
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Telephone | 773-784-8500
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Fax | 773-989-5412
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Provider Business Mailing Address
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Address Line | 5015 N PAULINA ST #214
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City | CHICAGO
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State | IL
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Zip | 60640-2756
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Country | US
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Telephone | 773-784-8500
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Fax | 773-989-5412
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 060-003510
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License Number State | IL
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