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General NPI Number Information
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NPI Number | 1093827297
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Entity Type | Organization
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Legal Business Name | MEDTEK DIAGNOSTICS INC
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | 201 E ARMY TRAIL RD STE 204
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2150
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Country | US
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Telephone | 630-671-8346
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Fax | 630-671-8301
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Provider Business Mailing Address
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Address Line | 203 CHANTICLEER LN
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City | HINSDALE
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State | IL
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Zip | 60521-5022
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Country | US
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Telephone | 630-747-3364
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAQSOOD JAFRI
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Credential | MD
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Telephone | 630-747-3364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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