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General NPI Number Information
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NPI Number | 1275965956
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Entity Type | Individual
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Provider Name | RABAB FATIMA NAZAR DPM
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Gender | Female
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 04/16/2015
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Provider Practice Location Address
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Address Line | 5145 N CALIFORNIA AVE SWEDISH COVENANT HOSPITAL - GME DEPARTMENT
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City | CHICAGO
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State | IL
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Zip | 60625-3661
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Country | US
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Telephone | 773-989-3808
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Fax | 773-989-1648
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Provider Business Mailing Address
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Address Line | 5145 N CALIFORNIA AVE SWEDISH COVENANT HOSPITAL - GME DEPARTMENT
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City | CHICAGO
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State | IL
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Zip | 60625-3661
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Country | US
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Telephone | 773-989-3808
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Fax | 773-989-1648
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 135000826
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License Number State | IL
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