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General NPI Number Information
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NPI Number | 1093345951
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Entity Type | Individual
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Provider Name | SHEHLA ZAIDI
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Gender | Female
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Dates
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Enumeration Date | 01/20/2020
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Last Update Date | 01/20/2020
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Provider Practice Location Address
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Address Line | 1910 MONTGOMERY RD
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City | AURORA
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State | IL
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Zip | 60504-9091
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Country | US
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Telephone | 708-770-1325
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Fax | 401-652-0898
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Provider Business Mailing Address
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Address Line | 4901 HAGGERTY RD
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48323-3903
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Country | US
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Telephone | 708-770-1325
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Fax | 401-652-0898
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051-290545
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License Number State | IL
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