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General NPI Number Information
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NPI Number | 1336769074
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Entity Type | Individual
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Provider Name | SHAKEEL AHMED PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/22/2020
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Last Update Date | 04/22/2020
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Provider Practice Location Address
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Address Line | 1471 E BUSINESS CENTER DR STE 500
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City | MT PROSPECT
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State | IL
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Zip | 60056-6082
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Country | US
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Telephone | 847-553-2616
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Fax |
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Provider Business Mailing Address
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Address Line | 234 LILLIAN PL
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City | BARTLETT
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State | IL
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Zip | 60103-2315
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Country | US
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Telephone | 773-968-9439
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Fax |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 051.289163
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License Number State | IL
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