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General NPI Number Information
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NPI Number | 1972143725
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Entity Type | Organization
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Legal Business Name | EIKRS SERVICE CORPORATION
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Dates
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Enumeration Date | 01/09/2020
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 5 WHEATON CTR APT 225
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City | WHEATON
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State | IL
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Zip | 60187-4991
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Country | US
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Telephone | 630-251-0206
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Fax |
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Provider Business Mailing Address
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Address Line | 5 WHEATON CTR APT 225
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City | WHEATON
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State | IL
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Zip | 60187-4991
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Country | US
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Telephone | 630-251-0206
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EJAZ N JAFRI
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Credential | APN
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Telephone | 630-251-0206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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