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General NPI Number Information
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NPI Number | 1265787881
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Entity Type | Organization
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Legal Business Name | MAGDY K AWAD, MD, SC
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 07/19/2012
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Provider Practice Location Address
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Address Line | 5311 S HARLEM AVE
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City | CHICAGO
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State | IL
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Zip | 60638-1006
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Country | US
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Telephone | 773-586-0076
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Fax | 773-586-0052
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Provider Business Mailing Address
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Address Line | 5311 S HARLEM AVE
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City | CHICAGO
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State | IL
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Zip | 60638-1006
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Country | US
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Telephone | 773-586-0076
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Fax | 773-586-0052
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Authorized Official
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Title or Position | OWNER
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Name | MAGDY AWAD
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Credential | MD
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Telephone | 630-854-9421
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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 | 036051586
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License Number State | IL
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