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General NPI Number Information
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NPI Number | 1124607833
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Entity Type | Organization
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Legal Business Name | ALMUQTADIR INC.
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Dates
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Enumeration Date | 04/08/2021
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Last Update Date | 04/08/2021
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Provider Practice Location Address
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Address Line | 19150 S. KEDZIE STE. 100
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City | FLOSSMOOR
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State | IL
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Zip | 60422
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Country | US
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Telephone | 708-798-1665
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Fax | 708-647-9734
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Provider Business Mailing Address
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Address Line | PO BOX 615
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City | ORLAND PARK
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State | IL
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Zip | 60462-0615
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Country | US
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Telephone | 708-798-1665
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Fax | 708-647-9734
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Authorized Official
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Title or Position | MANANGER
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Name | HASEEB SHAKIR
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Credential |
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Telephone | 708-307-3239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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