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General NPI Number Information
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NPI Number | 1841446432
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Entity Type | Organization
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Legal Business Name | RUSH UNIVERSITY
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 233 E 13TH STREET #503
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City | CHICAGO
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State | IL
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Zip | 60605-3239
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Country | US
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Telephone | 312-265-0446
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Fax |
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Provider Business Mailing Address
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Address Line | 233 E 13TH STREET #503
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City | CHICAGO
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State | IL
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Zip | 60605-3239
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Country | US
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Telephone | 312-265-0446
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | MISS DEEPA ARLA
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Credential | D.O
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Telephone | 502-418-9028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | IL
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