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General NPI Number Information
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NPI Number | 1114357092
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Entity Type | Individual
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Provider Name | MR. ABDUL HUSSEIN DARKI
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Gender | Male
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Dates
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Enumeration Date | 11/14/2013
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Last Update Date | 11/14/2013
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Provider Practice Location Address
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Address Line | 11808 S PULASKI RD
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City | ALSIP
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State | IL
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Zip | 60803
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Country | US
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Telephone | 708-668-2560
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Fax | 708-489-6249
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Provider Business Mailing Address
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Address Line | 11808 SOUTH PALASKI STREET
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City | ALSIP
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State | IL
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Zip | 60803-1608
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Country | US
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Telephone | 708-668-2560
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Fax | 708-489-6249
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036-067615
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License Number State | IL
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