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General NPI Number Information
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NPI Number | 1255083325
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Entity Type | Organization
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Legal Business Name | OSHAF INC.
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Dates
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Enumeration Date | 01/20/2022
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 201 E ARMY TRAIL RD STE 206D
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2103
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Country | US
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Telephone | 856-520-3810
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Fax | 773-338-1714
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Provider Business Mailing Address
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Address Line | 201 E ARMY TRAIL RD STE 206D
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2103
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Country | US
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Telephone | 856-520-3810
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Fax | 773-338-1714
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. HAFSA M ATCHA
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Credential |
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Telephone | 856-520-3810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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