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General NPI Number Information
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NPI Number | 1255560413
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Entity Type | Individual
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Provider Name | MUJAHID SAEED O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2009
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Last Update Date | 04/17/2018
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Provider Practice Location Address
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Address Line | 630 N ADDISON RD
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City | VILLA PARK
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State | IL
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Zip | 60181-1419
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Country | US
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Telephone | 708-636-9393
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Fax | 708-636-2022
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Provider Business Mailing Address
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Address Line | 4700 W 95TH ST SUITE # 102
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City | OAK LAWN
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State | IL
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Zip | 60453-2533
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Country | US
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Telephone | 708-636-9393
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Fax | 708-636-2022
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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 | 046010265
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License Number State | IL
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