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General NPI Number Information
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NPI Number | 1396459582
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Entity Type | Individual
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Provider Name | WARDA AHMED
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Gender | Female
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Dates
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Enumeration Date | 01/11/2023
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 589 N MCLEAN BLVD
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City | ELGIN
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State | IL
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Zip | 60123-3243
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Country | US
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Telephone | 847-697-9873
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Fax | 847-697-6769
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Provider Business Mailing Address
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Address Line | 441 CROMWELL CIR UNIT 3
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City | BARTLETT
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State | IL
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Zip | 60103-7450
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Country | US
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Telephone | 630-677-2530
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051301738
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License Number State | IL
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