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General NPI Number Information
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NPI Number | 1801600069
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Entity Type | Individual
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Provider Name | RYAN KATES PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 1422 W IRVING PARK RD APT 3
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City | CHICAGO
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State | IL
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Zip | 60613-7246
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Country | US
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Telephone | 224-519-3347
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Fax |
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Provider Business Mailing Address
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Address Line | 1422 W IRVING PARK RD APT 3
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City | CHICAGO
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State | IL
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Zip | 60613-7246
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Country | US
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Telephone |
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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 | 1835I0206X
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Taxonomy Name | Infectious Diseases Pharmacist
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License Number | 051298236
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License Number State | IL
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