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General NPI Number Information
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NPI Number | 1932428281
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Entity Type | Individual
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Provider Name | SUHAIR A. ALDEWAIREY M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/26/2010
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Last Update Date | 11/07/2018
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Provider Practice Location Address
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Address Line | 1500 S CALIFORNIA
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City | CHICAGO
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State | IL
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Zip | 60608
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Country | US
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Telephone | 626-689-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 S CALIFORNIA
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City | CHICAGO
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State | IL
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Zip | 60608
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Country | US
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Telephone | 626-689-9333
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036133257
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036133257
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License Number State | IL
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