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General NPI Number Information
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NPI Number | 1326216078
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Entity Type | Organization
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Legal Business Name | WEDAD KHEDR, MD LTD
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 1908 PIERCE CT
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City | BELVIDERE
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State | IL
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Zip | 61008-1742
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Country | US
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Telephone | 815-544-7779
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Fax |
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Provider Business Mailing Address
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Address Line | 1907 CLOVERDALE WAY
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City | BELVIDERE
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State | IL
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Zip | 61008-7331
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Country | US
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Telephone | 815-544-7779
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | WEDAD KHEDR
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Credential | M.D.
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Telephone | 815-544-7779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | IL
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