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General NPI Number Information
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NPI Number | 1043211451
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Entity Type | Individual
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Provider Name | FARHA SAGHIR DO
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Gender | Female
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 12/19/2019
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Provider Practice Location Address
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Address Line | 444 N PARK BLVD
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City | GLEN ELLYN
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State | IL
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Zip | 60137-4622
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Country | US
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Telephone | 630-469-0045
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Fax | 630-469-0645
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Provider Business Mailing Address
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Address Line | 444 N PARK BLVD
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City | GLEN ELLYN
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State | IL
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Zip | 60137-4622
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Country | US
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Telephone | 630-469-0045
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Fax | 630-469-0645
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M3137
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 11749
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 54953-21
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036-116680
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License Number State | IL
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