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General NPI Number Information
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NPI Number | 1306909163
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Entity Type | Individual
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Provider Name | AMINA JABEEN AHMAD DC
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 6767 W GREENFIELD AVE
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City | WEST ALLIS
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State | WI
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Zip | 53214
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Country | US
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Telephone | 414-448-7022
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Fax | 773-481-5830
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Provider Business Mailing Address
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Address Line | 4007 W LAWRENCE AVE
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City | CHICAGO
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State | IL
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Zip | 60630-2819
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Country | US
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Telephone | 773-794-1111
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Fax | 773-481-5830
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038-009243
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License Number State | IL
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