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General NPI Number Information
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NPI Number | 1386626265
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Entity Type | Individual
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Provider Name | SHABBIR ZARIF MD
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Gender | Male
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 07/20/2012
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Provider Practice Location Address
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Address Line | 675 W NORTH AVE STE 608 PROFESSION BLDG, GOTTLIEB MEMORIAL HOSPITAL, SUITE 608
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City | MELROSE PARK
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State | IL
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Zip | 60160-1627
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Country | US
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Telephone | 708-945-4923
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Fax | 630-468-2044
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Provider Business Mailing Address
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Address Line | 10 KINGSBURY CT
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City | OAK BROOK
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State | IL
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Zip | 60523-1721
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Country | US
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Telephone | 708-945-4923
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Fax | 630-468-2044
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036073231
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License Number State | IL
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