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General NPI Number Information
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NPI Number | 1083455901
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Entity Type | Individual
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Provider Name | FARAZ HASHMI DDS
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Gender | Male
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 4641 W FOSTER AVE
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City | CHICAGO
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State | IL
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Zip | 60630-1709
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Country | US
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Telephone | 312-584-0041
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Fax |
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Provider Business Mailing Address
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Address Line | 9363 MARGAIL AVE
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City | DES PLAINES
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State | IL
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Zip | 60016-4200
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Country | US
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Telephone | 847-275-3367
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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 | 019.035150
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License Number State | IL
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