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General NPI Number Information
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NPI Number | 1023645553
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Entity Type | Individual
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Provider Name | MUHIBB SADIQ DPT
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Gender | Male
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 193 NORTHFIELD RD
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City | NORTHFIELD
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State | IL
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Zip | 60093-3309
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Country | US
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Telephone | 312-970-9404
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Fax | 949-655-5898
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Provider Business Mailing Address
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Address Line | 5736 MAIN ST
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City | MORTON GROVE
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State | IL
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Zip | 60053-3473
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Country | US
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Telephone | 847-917-3928
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 070.024307
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 070024307
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License Number State | IL
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