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General NPI Number Information
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NPI Number | 1083395354
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Entity Type | Individual
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Provider Name | SYEDA BATOOL FATIMA ZAIDI DMD
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Gender | Female
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Dates
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Enumeration Date | 07/28/2023
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 10140 INDIANAPOLIS BLVD STE A
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City | HIGHLAND
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State | IN
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Zip | 46322-3643
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Country | US
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Telephone | 219-513-4286
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Fax |
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Provider Business Mailing Address
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Address Line | 172 N EAST RIVER RD UNIT E
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City | DES PLAINES
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State | IL
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Zip | 60016-1219
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Country | US
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Telephone | 847-772-0192
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | PENDING
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019.034406
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License Number State | IL
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