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General NPI Number Information
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NPI Number | 1093709438
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Entity Type | Individual
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Provider Name | FOUAD AL-QAWASMI M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 7714 W 159TH ST
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City | ORLAND PARK
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State | IL
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Zip | 60462-5445
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Country | US
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Telephone | 708-429-2020
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Fax | 708-598-0123
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Provider Business Mailing Address
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Address Line | 7714 W 159TH ST
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City | ORLAND PARK
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State | IL
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Zip | 60462-5445
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Country | US
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Telephone | 708-429-2020
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Fax | 708-598-0123
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036093184
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 36093184
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License Number State | IL
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