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General NPI Number Information
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NPI Number | 1144275082
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Entity Type | Individual
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Provider Name | SABAH AKBAR O.D.
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 11/06/2018
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Provider Practice Location Address
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Address Line | 3340 MALL LOOP DR
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City | JOLIET
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State | IL
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Zip | 60431-1057
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Country | US
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Telephone | 815-439-1400
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Fax | 815-435-1435
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Provider Business Mailing Address
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Address Line | 522 64TH ST
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City | WILLOWBROOK
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State | IL
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Zip | 60527-1813
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Country | US
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Telephone | 630-667-6926
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046009559
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License Number State | IL
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