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NPI 1184705501

NPI 1184705501 : BABAK VAKILI MD : MADISON, WI

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General NPI Number Information
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    NPI Number           |    1184705501
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    Entity Type          |    Individual 
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    Provider Name        |    BABAK VAKILI MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/19/2006
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    Last Update Date     |    04/08/2025
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Provider Practice Location Address
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    Address Line         |    4621 EASTPARK BLVD 
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    City                 |    MADISON
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    State                |    WI
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    Zip                  |    53718-2000
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    Country              |    US
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    Telephone            |    608-914-0800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7974 UW HEALTH CT 
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    City                 |    MIDDLETON
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    State                |    WI
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    Zip                  |    53562-5531
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    Country              |    US
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    Telephone            |    
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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        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    C1-0007396
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    License Number State |    DE
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Taxonomy #2
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    Taxonomy Code        |    207VF0040X
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    Taxonomy Name        |    Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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    License Number       |    C1-0007396
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    License Number State |    DE
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Taxonomy #3
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    MA077964
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    License Number State |    NJ
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Taxonomy #4
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    Taxonomy Code        |    207VF0040X
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    Taxonomy Name        |    Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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    License Number       |    25MA07796400
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    License Number State |    NJ
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Taxonomy #5
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    102645
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    License Number State |    WI
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Taxonomy #6
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    Taxonomy Code        |    2086S0122X
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    Taxonomy Name        |    Plastic and Reconstructive Surgery Physician
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    License Number       |    MA077964
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    License Number State |    NJ
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Taxonomy #7
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    Taxonomy Code        |    2088F0040X
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    Taxonomy Name        |    Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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    License Number       |    C1-0007396
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    License Number State |    DE
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Taxonomy #8
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    Taxonomy Code        |    2088F0040X
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    Taxonomy Name        |    Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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    License Number       |    25MA07796400
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    License Number State |    NJ
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Taxonomy #9
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    Taxonomy Code        |    207VF0040X
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    Taxonomy Name        |    Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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    License Number       |    102645
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    License Number State |    WI
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