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General NPI Number Information
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NPI Number | 1790208205
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Entity Type | Individual
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Provider Name | HARAN RAJESWARAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 7435 W TALCOTT AVE
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City | CHICAGO
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State | IL
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Zip | 60631-3707
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Country | US
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Telephone | 773-774-8000
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Fax | 706-653-1162
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Provider Business Mailing Address
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Address Line | PO BOX 713160
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City | CHICAGO
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State | IL
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Zip | 60677-0360
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Country | US
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Telephone | 610-457-7276
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036.165119
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License Number State | IL
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