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General NPI Number Information
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NPI Number | 1265020051
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Entity Type | Organization
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Legal Business Name | FA 1ST SOLUTIONS
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Dates
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Enumeration Date | 01/06/2021
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Last Update Date | 10/20/2023
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Provider Practice Location Address
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Address Line | 3425 W PETERSON AVE STE 104
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City | CHICAGO
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State | IL
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Zip | 60659-3443
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Country | US
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Telephone | 773-615-0279
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Fax |
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Provider Business Mailing Address
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Address Line | 3425 W PETERSON AVE STE 104
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City | CHICAGO
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State | IL
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Zip | 60659-3443
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Country | US
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Telephone | 773-615-0279
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | IMRAN SALIM
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Credential |
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Telephone | 773-615-0279
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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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